CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Merit Health River Oaks

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $5,472
  • Cash Discount Price: $16,419
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Merit Health River Oaks is $5,472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,419. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.64x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$16,419

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,472

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $16,419 (491%)
Insurance Median: $5,472 (164%)
Cash: $16,419 (491% of Medicare)
Ins. Median: $5,472 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Veterans Eval Services $488 15%
Advanced Health Systems $1,688 50%
Blue Cross Blue Shield $1,756 53%
Medicaid / KanCare $2,473 - $13,911 74%
UnitedHealthcare $2,473 - $24,355 74%
Magnolia Mcd Chip $2,497 75%
Caresource Truecare $2,522 75%
Molina Chip $2,670 80%
Humana $2,907 87%
Medicare (plans) $2,907 87%
Node First Choice Shared Health Of Ms Mcr Adv $2,907 87%
Node Vantage Health Mcr Adv $2,907 87%
Node Hospice Non Par Agree $2,954 88%
Node Va $2,954 88%
Molina $2,965 89%
Node Devoted Health Mcr Adv $2,965 89%
Node First Choice American Health Mcr Adv $2,965 89%
Aetna $2,994 - $63,852 90%
Node First Choice Wellcare Mcr Adv $3,013 90%
Node Healthy Mississippi Mcr Adv $3,250 97%
Node Us Dept Of Labor $3,693 110%
First Choice Preferred $4,431 133%
Node First Choice Occunet $4,431 133%
Molina Exchange $4,447 133%
Node First Choice Seven Corners $5,022 150%
Magnolia Exchange $5,170 155%
Ms Work Comp $5,773 173%
Prime Health Wc $5,773 173%
First Choice Lgp $6,440 193%
Vantage Health Commercial $6,647 199%
Ms Dept Of Rehabilitation Services $7,381 221%
Tricare $9,883 296%
Node Champva $10,403 311%
Cigna $18,152 543%
Self Pay $20,068 600%
Trimed Billing Solutions $27,365 819%
Ms State Hospital Of Whitfield Ms $34,662 1037%
First Choice Standard $41,960 1255%
First Choice Coventry $47,433 1419%
First Choice Mpcn Standard $50,169 1501%
First Choice Ppo Plus $50,169 1501%
Phcs $54,730 1637%
First Choice Stratose $72,973 2183%
Prime Health Services $72,973 2183%
American Health Group $77,534 2319%
Beech Street $77,534 2319%
Benefit Administration Services $77,534 2319%
Benefit Management Systems $77,534 2319%
Citizens State Bank Inc $77,534 2319%
Formost $77,534 2319%
Usa Mco $77,534 2319%
One Health Plan $82,095 2456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals