CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,028
  • Cash Discount Price: $6,705
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercy Hospital Oklahoma City, Inc is $3,028. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,705. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.91x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$6,705

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,028

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: $6,705 (201%)
Insurance Median: $3,028 (91%)
Cash: $6,705 (201% of Medicare)
Ins. Median: $3,028 (91% 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
Medicaid / KanCare $297 - $4,167 9%
Blue Cross Blue Shield $506 - $3,245 15%
Tricare $2,873 - $3,028 86%
Aetna $2,889 - $3,028 86%
Humana $2,889 - $3,028 86%
Champva [20065] $3,028 91%
Cherokee Nation Health Serv Contracted [320066] $3,028 91%
Cross Timbers Hospice [20098] $3,028 91%
Dept Of Veteran Affairs Contracted [320106] $3,028 91%
Elara Caring Aspire Hospice Contracted [320433] $3,028 91%
Elara Caring Aspire Hospice [20433] $3,028 91%
Halo Hcr Inc Hospice Contracted [320432] $3,028 91%
Halo Hcr Inc Hospice [20432] $3,028 91%
Indian Health Service Contracted [320198] $3,028 91%
Kindful Hospice Contracted [320434] $3,028 91%
Kindful Hospice [20434] $3,028 91%
Medicare (plans) $3,028 - $3,241 91%
Mercy Hospice Okc [20252] $3,028 91%
Mercy Rehab Hospital Contracted [320260] $3,028 91%
Provider Partners Health Plans Contracted [320450] $3,028 91%
Qual Choice Contracted [320325] $3,028 91%
UnitedHealthcare $3,028 91%
Globalhealth Contracted [320145] $3,089 92%
Cigna $3,120 93%
Amg Spec Hosp Edmond [20034] $3,241 97%
Ambetter / Centene $4,167 125%
Home State Health Plan Contracted [320187] $4,167 125%
Novasys Contracted [320285] $4,167 125%
Community Care Contracted [320080] $4,630 139%
Centralink Contracted [320480] $4,821 144%
Workers Comp [20426] $5,085 152%
Health Choice Contracted [320166] $5,840 175%
Healthsmart Preferred Care Contracted [320184] $6,812 204%
Kempton Contracted [320214] $6,812 204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4300 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals