CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Harlan County Health System

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,999
  • Cash Discount Price: $4,619
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Harlan County Health System is $3,999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,619. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.20x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$4,619

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,999

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: $4,619 (138%)
Insurance Median: $3,999 (120%)
Cash: $4,619 (138% of Medicare)
Ins. Median: $3,999 (120% 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
Aetna $468 - $5,184 14%
Medica Chi Health $468 - $6,739 14%
Medica Mcr Adv $468 - $3,999 14%
Medica Prime Solution $468 - $3,999 14%
Tricare $468 - $4,962 14%
UnitedHealthcare $468 - $7,110 14%
Great Plains Mcr Adv-All Plans $492 - $5,210 15%
Medica Ifb Aco $849 - $7,110 25%
Blue Cross Blue Shield $894 - $7,110 27%
Medica Chi Aco - All Other Plans $894 - $6,739 27%
Medica Choice $936 - $6,739 28%
Medica Ifb Open Access $1,085 - $7,110 32%
Phcs/Multiplan-All Plans $1,400 - $7,258 42%
Ohara Llc Wc- All Plans $3,935 - $7,036 118%
Ambetter / Centene $4,225 126%
Healthy Blue Mcaid-All Plans $4,349 130%
Humana $4,962 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals