CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,222
  • Cash Discount Price: $5,413
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Tennova Healthcare - Newport Medical Center is $3,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,413. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.96x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$5,413

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,222

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: $5,413 (162%)
Insurance Median: $3,222 (96%)
Cash: $5,413 (162% of Medicare)
Ins. Median: $3,222 (96% 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%
Bluecare $1,607 - $1,661 48%
Amerigroup $1,920 - $3,285 57%
Medicaid / KanCare $2,234 67%
UnitedHealthcare $2,234 - $23,034 67%
Tricare $2,820 84%
Node Champva $2,969 89%
Humana $3,128 94%
Medicare (plans) $3,128 94%
Node Bluecare Plus Tn Mcr Adv $3,179 95%
Node Hospice Non Par Agree $3,179 95%
Node Va $3,179 95%
Node Devoted Health Mcr Adv $3,191 95%
Node Farm Bureau Mcr Adv $3,191 95%
Aetna $3,222 - $14,327 96%
Blue Cross Blue Shield $3,222 - $6,243 96%
Node Healthspring Mcr Adv $3,222 96%
Node Wellcare Mcr Adv $3,254 97%
Windsor Health Plan $3,285 98%
Node Nhc Mcr Adv $3,441 103%
Us Department Of Labor $3,974 119%
Novanet Work Comp Tn $4,818 144%
Tn Work Comp $4,867 146%
Self Pay $5,413 162%
Ambetter / Centene $5,882 176%
Point Comfort Underwriters $6,883 206%
Cigna $10,744 321%
Multiplan $17,966 537%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals