CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Physicians Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,009
  • Cash Discount Price: $5,716
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Physicians Regional Medical Center is $3,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,716. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.90x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$5,716

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,009

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: $5,716 (171%)
Insurance Median: $3,009 (90%)
Cash: $5,716 (171% of Medicare)
Ins. Median: $3,009 (90% 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%
Amerigroup $1,931 - $3,067 58%
Amerigroup Community Care $1,931 58%
Blue Cross Blue Shield $1,935 - $6,090 58%
Medicaid / KanCare $2,255 67%
UnitedHealthcare $2,255 - $25,224 67%
Aetna $2,600 - $3,009 78%
Tricare $2,820 84%
Humana $2,921 87%
Medicare (plans) $2,921 87%
Node Bluecare Plus Tn Mcr Adv $2,921 - $2,969 87%
Department Of Veterans Affairs $2,969 89%
Node Hospice Non Par Agree $2,969 89%
Node Va $2,969 89%
Node Devoted Health Mcr Adv $2,980 89%
Node Farm Bureau Mcr Adv $2,980 89%
Node Healthspring Mcr Adv $3,009 90%
Wellcare $3,087 92%
Node Nhc Mcr Adv $3,213 96%
Node Us Dept Of Labor $3,711 111%
Us Department Of Labor $3,711 111%
Novanet Work Comp Tn $4,818 144%
Occunet Work Comp Tn $4,867 146%
Tn Work Comp $4,867 146%
Ambetter / Centene $5,492 164%
Node Point Comfort Underwriters $5,492 164%
Self Pay $5,713 - $5,718 171%
Cigna $6,813 - $6,847 204%
Multiplan $13,621 - $18,657 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals