CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Carlsbad Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,341
  • Cash Discount Price: $3,489
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Carlsbad Medical Center is $4,341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,489. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.30x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$3,489

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,341

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: $3,489 (104%)
Insurance Median: $4,341 (130%)
Cash: $3,489 (104% of Medicare)
Ins. Median: $4,341 (130% 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 - $31,499 73%
Medicaid / KanCare $2,445 - $2,946 73%
UnitedHealthcare $2,696 - $17,969 81%
Department Of Veterans Affairs $3,239 97%
Tricare $3,239 97%
Medicare (plans) $3,414 102%
Node Molina Mcr Adv $3,414 102%
Presbyterian $3,414 - $25,215 102%
Node Va $3,469 104%
Triwest $3,469 104%
Self Pay $3,489 104%
Node Choice Care Mcr Adv $3,584 107%
Node Devoted Health Mcr Adv $3,584 107%
Us Department Of Labor $4,336 130%
Wexford Health $4,336 130%
Work Comp Nm $4,346 130%
Node Molina Health Exchange $9,471 283%
Capstar $13,842 414%
Nm Health Connection $13,877 415%
Eddy County Detention $15,000 449%
Cigna $17,445 - $29,238 522%
Zelis $21,981 - $29,308 658%
Omni Network $22,679 678%
Choice Care $24,423 731%
Ccn First Health $27,912 835%
Healthsmart $28,261 - $30,006 845%
Aetna $29,308 877%
Multiplan $29,308 877%
Medical Control Inc $32,448 971%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2430 West Pierce Street, Carlsbad, NM 88220
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals