CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Eastern New Mexico Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,866
  • Cash Discount Price: $9,018
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Eastern New Mexico Medical Center is $4,866. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,018. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.46x the Medicare baseline. Located in 405 W Country Club Road, Roswell, NM.
Cash / Self-Pay
$9,018

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,866

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: $9,018 (270%)
Insurance Median: $4,866 (146%)
Cash: $9,018 (270% of Medicare)
Ins. Median: $4,866 (146% 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 $522 16%
Blue Cross Blue Shield $2,445 - $30,051 73%
Presbyterian Mcd $2,445 73%
Medicaid / KanCare $2,526 - $2,568 76%
UnitedHealthcare $2,696 - $26,839 81%
Medicare (plans) $3,187 95%
Node Presbyterian Mcr Adv $3,187 95%
Node Molina Mcr Adv $3,219 96%
Node Hospice Non Par Agree $3,239 97%
Node Va $3,239 97%
Triwest $3,239 97%
Humana $3,347 100%
Node Devoted Health Mcr Adv $3,347 100%
Node Western Sky Mcr Adv $3,347 100%
Node Wexford Health $4,049 121%
Us Dept Of Labor $4,049 121%
Nm Work Comp $4,346 130%
Node Champva $5,386 161%
Tricare $5,386 161%
Health Connections $7,126 213%
Node Molina Health Exchange $8,843 265%
Self Pay $9,018 270%
Capstar $19,324 578%
Zelis Nmmip $27,053 809%
Presbyterian Commercial $28,909 865%
Cigna $30,489 912%
Firstcare Tx $32,206 963%
Admar $34,354 1028%
Multiplan Primary $36,071 1079%
Aetna $36,157 1082%
Healthsmart $36,501 1092%
Multiplan Complementary $37,360 1118%
Zelis $37,789 1130%
Affordable $39,936 1195%
Omni $40,795 1220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 405 W Country Club Road, Roswell, NM 88201
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals