CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Titus Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $768
Cash Discount Price: $1,115
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Titus Regional Medical Center is $768. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,115. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.23x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$1,115

Average discount available for prompt cash payment at this facility.

Insurance Median

$768

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: $1,115 (33%)

Insurance Median: $768 (23%)

Cash: $1,115 (33% of Medicare)

Ins. Median: $768 (23% 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
Christus Health Plan	$376	11%
Humana	$376 - $1,360	11%
Tricare	$376	11%
Triwest	$376 - $1,360	11%
UnitedHealthcare	$376 - $1,459	11%
Texas Mutual	$388	12%
Curative	$414	12%
Superior	$458	14%
Aetna	$462 - $822	14%
Blue Cross Blue Shield	$540 - $1,858	16%
Claritev	$603	18%
Healthcare Highways	$714	21%
Healthsmart	$1,301	39%
Cigna	$1,486	44%
Galaxy Health	$1,765	53%

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 $1,115.
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 Titus Regional Medical Center 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.