CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Artesia General Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,030
Cash Discount Price: $664
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Artesia General Hospital is $1,030. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.31x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$664

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,030

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: $664 (20%)

Insurance Median: $1,030 (31%)

Cash: $664 (20% of Medicare)

Ins. Median: $1,030 (31% 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
Zelis	$302 - $3,773	9%
First Health	$427 - $4,046	13%
Blue Cross Blue Shield	$664 - $3,144	20%
Geha	$775 - $3,144	23%
Omni Networks	$775	23%
Three Rivers Provider Network	$830	25%
Cigna	$941 - $996	28%
Galaxy Health	$996	30%
One Health Plan	$996	30%
Multiplan	$1,007	30%
United Payors & United Providers	$1,030	31%
Providence Risk & Insurance Services	$1,052 - $6,288	31%
Molina Healthcare Of New Mexico	$2,445 - $5,282	73%
Presbyterian Health Plan	$2,445 - $3,144	73%
UnitedHealthcare	$2,445 - $3,144	73%
Triwest	$3,081	92%
Humana	$3,144 - $3,458	94%
Vistacare Hospice	$3,144	94%
New Mexico Health Connections	$5,345	160%

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 $664.
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 Artesia General Hospital 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.