CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Alliancehealth Durant

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $11,074
  • Cash Discount Price: $9,355
  • vs. Medicare Baseline: 3.31x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Alliancehealth Durant is $11,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,355. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 3.31x the Medicare baseline. Located in 1800 University Boulevard, Durant, OK.
Cash / Self-Pay
$9,355

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,074

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: $9,355 (280%)
Insurance Median: $11,074 (331%)
Cash: $9,355 (280% of Medicare)
Ins. Median: $11,074 (331% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $501 15%
Aetna $2,946 - $58,466 88%
Humana $2,946 - $3,106 88%
Medicaid / KanCare $2,946 88%
Medicare (plans) $3,106 93%
Node Hospice Non Par Agree $3,157 94%
Node Va $3,157 94%
UnitedHealthcare $3,157 - $22,685 94%
Blue Cross Blue Shield $3,199 - $16,070 96%
Node Sterling Mcr Adv $3,199 96%
Node Us Dept Of Labor $3,946 118%
Prime Health Work Comp Ok $4,932 148%
Ok Work Comp $5,085 152%
Healthchoice $6,165 184%
Self Pay $10,914 326%
Department Of Veterans Affairs $11,074 331%
Tricare $11,074 331%
Cigna $20,970 627%
Healthcare Highways $25,959 777%
Customer Linx $46,773 1399%
Phcs Savility $54,568 1632%
First Health $58,466 1749%
Healthsmart $59,246 1772%
Multiplan Complementary $62,364 1866%
Multiplan Primary $62,364 1866%
Prime Health Services $62,364 1866%
One Health Plan $66,261 1982%
Preferred Community Choice Ppo $66,261 1982%
Comprehensive Medical Care $70,159 2099%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 University Boulevard, Durant, OK 74702
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals