CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,231
Cash Discount Price: $2,161
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $1,231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,161. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.37x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$2,161

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,231

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: $2,161 (65%)

Insurance Median: $1,231 (37%)

Cash: $2,161 (65% of Medicare)

Ins. Median: $1,231 (37% 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
Molina	$437 - $3,407	13%
Parkland	$437 - $1,088	13%
UnitedHealthcare	$437 - $15,883	13%
Wellpoint	$437 - $3,407	13%
Aetna	$502 - $2,409	15%
Superior	$511 - $3,407	15%
Procare	$537 - $3,245	16%
Ambetter / Centene	$548	16%
Blue Cross Blue Shield	$564 - $12,094	17%
Humana	$564 - $3,374	17%
Healthfirst	$1,051	31%
Coventry	$1,098	33%
Quiktrip	$1,208	36%
Maestro Health/Fort Worth Firefighters	$1,231	37%
United Options Nexus	$1,553 - $20,334	46%
Cigna	$1,974	59%
Rockwall County	$2,017	60%
Phcs	$2,048	61%
Galaxy Health Network	$2,593	78%
Multiplan	$2,593	78%
Healthsmart	$2,921	87%

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 $2,161.
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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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.