CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Metro Nashville General Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $492
Cash Discount Price: $4,674
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Metro Nashville General Hospital is $492. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,674. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.

Cash / Self-Pay

$4,674

Average discount available for prompt cash payment at this facility.

Insurance Median

$492

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: $4,674 (140%)

Insurance Median: $492 (15%)

Cash: $4,674 (140% of Medicare)

Ins. Median: $492 (15% 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
UnitedHealthcare	$271 - $492	8%
Corizon	$322	10%
Amerigroup	$430	13%
Amerivantage	$430	13%
Aetna	$492 - $4,284	15%
Blue	$492	15%
Cigna	$492 - $589	15%
Humana	$492	15%
Medicare (plans)	$492	15%
Upmc	$492	15%
Wellcare	$492	15%
Farm Bureau	$502	15%
Blue Cross Blue Shield	$506 - $668	15%
Corecivic	$541	16%
Ambetter / Centene	$689	21%
Naphcare	$738	22%
Provider Network Of America	$836	25%

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 $4,674.
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 Metro Nashville General 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.