CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mercy Hospital Ada

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,243
  • Cash Discount Price: $15,303
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercy Hospital Ada is $3,243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,303. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.97x the Medicare baseline. Located in 430 North Monte Vista, Ada, OK.
Cash / Self-Pay
$15,303

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,243

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: $15,303 (458%)
Insurance Median: $3,243 (97%)
Cash: $15,303 (458% of Medicare)
Ins. Median: $3,243 (97% 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
Blue Cross Blue Shield $506 - $3,245 15%
Aetna $2,889 - $3,243 86%
Humana $2,889 - $3,305 86%
Medicaid / KanCare $2,889 - $4,462 86%
Cherokee Nation Health Serv Contracted [320066] $3,243 97%
Cross Timbers Hospice [20098] $3,243 97%
Dept Of Veteran Affairs Contracted [320106] $3,243 97%
Elara Caring Aspire Hospice Contracted [320433] $3,243 97%
Elara Caring Aspire Hospice [20433] $3,243 97%
Halo Hcr Inc Hospice Contracted [320432] $3,243 97%
Halo Hcr Inc Hospice [20432] $3,243 97%
Independent Health [20197] $3,243 97%
Indian Health Service Contracted [320198] $3,243 97%
Kindful Hospice Contracted [320434] $3,243 97%
Kindful Hospice [20434] $3,243 97%
Medical Associates Health [20444] $3,243 97%
Medicare (plans) $3,243 - $3,305 97%
Mercy Hospice Okc [20252] $3,243 97%
Provider Partners Health Plans Contracted [320450] $3,243 97%
Qual Choice Contracted [320325] $3,243 97%
Tricare $3,243 97%
UnitedHealthcare $3,243 97%
Globalhealth Contracted [320145] $3,309 99%
Cigna $3,342 100%
Ambetter / Centene $4,462 133%
Home State Health Plan Contracted [320187] $4,462 133%
Novasys Contracted [320285] $4,462 133%
Workers Comp [20426] $5,085 152%
Health Choice Contracted [320166] $6,489 194%
Healthsmart Preferred Care Contracted [320184] $7,296 218%
Kempton Contracted [320214] $7,296 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 430 North Monte Vista, Ada, OK 74820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals