CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Tennova Healthcare - Clarksville

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,381
  • Cash Discount Price: $6,939
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Tennova Healthcare - Clarksville is $3,381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,939. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.01x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$6,939

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,381

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: $6,939 (208%)
Insurance Median: $3,381 (101%)
Cash: $6,939 (208% of Medicare)
Ins. Median: $3,381 (101% 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%
Medicaid / KanCare $1,596 - $8,942 48%
UnitedHealthcare $1,596 - $3,390 48%
Blue Cross Blue Shield $1,928 - $6,402 58%
Aetna $2,082 - $8,083 62%
Amerigroup $2,262 68%
Tricare $3,116 93%
Cigna $3,174 - $7,067 95%
Humana $3,228 - $7,869 97%
Medicare (plans) $3,228 97%
Node Windsor Mcr Dual $3,228 97%
Node Devoted Health Mcr Adv $3,279 98%
Node Bluecare Plus Tn Mcr Adv $3,280 98%
Node Champva $3,280 98%
Node Hospice Non Par Agree $3,280 98%
Node Va $3,280 98%
Node Wellcare Mcr Adv $3,280 98%
American Health $3,292 98%
Node Ascension Complete Mcr Adv $3,292 98%
Node Farm Bureau Mcr Adv $3,292 98%
Node Healthspring Mcr Adv $3,292 98%
Multiplan $3,374 101%
Node Amerigroup Mcr Adv $3,389 101%
Node Nhc Mcr Adv $3,550 106%
Node Us Dept Of Labor $4,100 123%
Corvel $4,624 138%
Rockport Work Comp Tn $4,624 138%
Novanet Work Comp Tn $4,770 143%
Prime Health Work Comp Tn $4,770 143%
Tn Work Comp $4,867 146%
Ambetter / Centene $6,068 182%
Node Valenz Access $6,560 196%
Ky Work Comp $6,786 203%
Self Pay $6,939 208%
Oscar $7,193 215%
Naphcare $7,380 221%
Wellcare $8,942 267%
Center Care $23,249 695%
Correct Care Solutions $32,190 963%
First Health $32,190 963%
Phcs $33,979 1016%
Prime Health Services $33,979 1016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals