CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Tri Valley Health System

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $640
  • Cash Discount Price: $794
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Tri Valley Health System is $640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $794. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.19x the Medicare baseline. Located in 1305 West Highway 6/34, Cambridge, NE.
Cash / Self-Pay
$794

Average discount available for prompt cash payment at this facility.

Insurance Median
$640

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: $794 (24%)
Insurance Median: $640 (19%)
Cash: $794 (24% of Medicare)
Ins. Median: $640 (19% 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
Healthy Blue Mcaid - All Plans $149 - $951 4%
Molina Mcaid - All Plans $149 - $951 4%
Nebraska Total Care-All Plans $149 - $960 4%
UnitedHealthcare $149 - $1,396 4%
Amerigroup Mcaid - All Plans $152 - $970 5%
Medica Chi Aco - All Other Plans $280 - $1,309 8%
Medica Chi Open Access $280 - $1,309 8%
Medica Ifb Aco $280 - $1,309 8%
Medica Ifb Open Access $280 - $1,309 8%
Midlands Choice-All Plans $280 - $1,309 8%
Blue Cross Blue Shield $283 - $1,381 8%
Aetna $305 - $1,425 9%
Multiplan-All Plans $305 - $1,512 9%
Humana $329 - $640 10%
Medica Mcr Adv $329 - $640 10%
Medica Prime Sol $329 - $640 10%
Tricare $329 - $640 10%
Wellcare Mcr Adv - All Plans $329 - $640 10%
Great Plains Mcr Adv - All Plans $345 - $672 10%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 West Highway 6/34, Cambridge, NE 69022
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals