CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Methodist Fremont Health

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,581
Cash Discount Price: $1,757
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Methodist Fremont Health is $3,581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,757. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.07x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.

Cash / Self-Pay

$1,757

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,581

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: $1,757 (53%)

Insurance Median: $3,581 (107%)

Cash: $1,757 (53% of Medicare)

Ins. Median: $3,581 (107% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Elevate By Medica	$1,643 - $2,631	49%
Alliance Nhn	$2,125 - $3,402	64%
Ne Furniture Mart	$3,030 - $4,852	91%
Blue Cross Blue Shield	$3,103 - $5,232	93%
Medica Choice	$3,213 - $5,144	96%
Multiplan	$3,286 - $5,261	98%
UnitedHealthcare	$3,290 - $5,267	98%
Midlands Choice	$3,432 - $5,495	103%
Aetna	$3,505 - $5,612	105%
Humana	$3,581	107%
Medica	$3,581	107%
Medicare (plans)	$3,581 - $3,652	107%
Ambetter / Centene	$7,412	222%
Elite Choice	$7,423	222%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,757.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Fremont Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.