CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Coshocton Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,680
Cash Discount Price: $3,080
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Coshocton Regional Medical Center is $3,680. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,080. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.10x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$3,080

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,680

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: $3,080 (92%)

Insurance Median: $3,680 (110%)

Cash: $3,080 (92% of Medicare)

Ins. Median: $3,680 (110% 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
Standard Eapg Logic	$2,410	72%
Blue Cross Blue Shield	$3,080 - $3,680	92%
Care Source	$3,080 - $3,680	92%
Medicare (plans)	$3,080	92%
Molina	$3,080 - $3,680	92%
The Health Plan	$3,080	92%
Tricare	$3,080	92%
UnitedHealthcare	$3,080 - $3,680	92%
Med Mutual Of Oh	$3,142	94%
Buckeye Community Health Plan	$3,234 - $3,680	97%
Devoted Health	$3,234	97%
Valor Health Plan	$3,296	99%
Perennial Advantage	$3,388	101%
Americas Choice Provider Network	$3,680	110%
Amerihealth Caritas	$3,680	110%
Corvel	$3,680	110%
Employer Direct Healthcare	$3,680	110%
Healthsmart	$3,680	110%
Medicaid / KanCare	$3,680	110%
Multiplan	$3,680	110%
Paramount	$3,680	110%
Provider Network Of America	$3,680	110%
Provider Select	$3,680	110%
Quality Care Partner	$3,680	110%
Three Rivers	$3,680	110%
Workers Compensation	$3,680	110%

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 $3,080.
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 Coshocton Regional Medical Center 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.