CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lafollette Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,254
  • Cash Discount Price: $7,504
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lafollette Medical Center is $3,254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,504. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.97x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$7,504

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,254

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: $7,504 (224%)
Insurance Median: $3,254 (97%)
Cash: $7,504 (224% of Medicare)
Ins. Median: $3,254 (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
Veterans Eval Services $490 15%
Blue Cross Blue Shield $1,578 - $6,243 47%
Bluecare $1,607 - $1,814 48%
Amerigroup $2,056 62%
Medicaid / KanCare $2,408 - $6,948 72%
UnitedHealthcare $2,408 - $27,792 72%
Tricare $2,900 87%
Node Champva $3,052 91%
Triwest $3,116 93%
Humana $3,128 - $6,114 94%
Medicare (plans) $3,128 94%
Node Bluecare Plus Tn Mcr Adv $3,128 94%
Node Hospice Non Par Agree $3,179 95%
Node Va $3,179 95%
Node Wellcare Mcr Adv $3,179 95%
Node Devoted Health Mcr Adv $3,191 95%
Node Farm Bureau Mcr Adv $3,191 95%
Aetna $3,222 - $17,287 96%
Node Blueadvantage Mcr Adv $3,222 96%
Node Healthspring Mcr Adv $3,222 96%
Node Amerigroup Mcr Adv $3,285 98%
Windsor Health Plan $3,285 98%
Node Nhc Mcr Adv $3,441 103%
Node Us Dept Of Labor $3,974 119%
Novanet Work Comp Tn $4,818 144%
Tn Work Comp $4,867 146%
Ambetter / Centene $5,882 176%
Wellcare $6,948 208%
Node Point Comfort Underwriters $6,995 209%
Self Pay $7,979 239%
Cigna $11,393 341%
Multiplan Complementary $21,122 632%
Beech Street Work Comp Tn $496,417 14850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals