CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Butler County Health

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $13,672
Cash Discount Price: $14,257
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Butler County Health is $13,672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,257. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 4.09x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.

Cash / Self-Pay

$14,257

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,672

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: $14,257 (426%)

Insurance Median: $13,672 (409%)

Cash: $14,257 (426% of Medicare)

Ins. Median: $13,672 (409% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 409% of the Medicare baseline (a markup of 309%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Humana	$7,888 - $9,506	236%
Ambetter / Centene	$12,284 - $14,804	367%
Blue Cross Blue Shield	$12,284 - $17,680	367%
Multiplan	$12,284 - $14,804	367%
Nebraska Total Care	$12,284 - $14,804	367%
Aetna	$12,530 - $15,100	375%
Cigna	$12,672 - $15,271	379%
Corvel	$12,672 - $15,271	379%
Medica	$12,672 - $15,271	379%
Midlands Choice	$12,672 - $15,271	379%
Three Rivers	$12,672 - $15,271	379%
UnitedHealthcare	$12,672 - $15,271	379%

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 $14,257.
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 Butler County 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.