CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cannon Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $519
Cash Discount Price: $363
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Cannon Memorial Hospital is $519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $363. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.16x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.

Cash / Self-Pay

$363

Average discount available for prompt cash payment at this facility.

Insurance Median

$519

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: $363 (11%)

Insurance Median: $519 (16%)

Cash: $363 (11% of Medicare)

Ins. Median: $519 (16% 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
Medicaid / KanCare	$361 - $466	11%
Absolute Total Care [58]	$369 - $475	11%
Humana	$379 - $1,611	11%
Select Health Of Sc [637]	$379 - $416	11%
Aetna	$501 - $801	15%
Blue Choice Health Plan [922]	$501 - $952	15%
Blue Cross Blue Shield	$501 - $994	15%
Devoted Health Alt Payer [9401]	$501 - $511	15%
Devoted Health [94]	$501 - $511	15%
Medicare (plans)	$501 - $558	15%
UnitedHealthcare	$501 - $859	15%
Vaccn - Va Community Care Network [16]	$501	15%
Veterans Administration [633]	$501	15%
Cigna	$516 - $912	15%
Molina Dual Options Alt Payer [1501]	$516	15%
Molina Dual Options [15]	$516	15%
Champva [604]	$517	15%
Tricare	$517	15%
Absolute Total Care Mcr Plans Alt Payer [4101]	$518	15%
Absolute Total Care Mcr Plans [41]	$518	15%
Bright Health Alt Payer [1001]	$519 - $558	16%
First Choice Vip Careplus Alt Payer [3301]	$526	16%
First Choice Vip [33]	$526	16%
Nhc Advantage Alt Payer [6101]	$526	16%
Nhc Advantage [61]	$526	16%
Bright Health [11]	$671	20%
Employee Benefit Management Services [869]	$686	21%
Ambetter / Centene	$716	21%
First Choice Next [96]	$726	22%
Molina Marketplace [97]	$726	22%
Workers Compensation [622]	$800	24%
Mail Handlers Benefit Plan [327]	$801	24%
Rural Carrier Benefit Plan [406]	$801	24%
Preferred Administrators [19]	$857	26%
Geha [302]	$859	26%
Golden Rule Ins Co [584]	$859	26%
Edison Health Solutions [95]	$876	26%
Healthscope [98]	$876	26%
Nalc Health Benefit Plan [291]	$912	27%
Planned Administrators [886]	$952	28%
Thomas Cooper & Company [315]	$952	28%
Medcost [206]	$1,074	32%
Phcs [940]	$1,258	38%

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 $363.
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 Cannon Memorial Hospital 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.