CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: De Tar Hospital Navarro

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,315
  • Cash Discount Price: $10,514
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at De Tar Hospital Navarro is $3,315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,514. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.99x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$10,514

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,315

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: $10,514 (315%)
Insurance Median: $3,315 (99%)
Cash: $10,514 (315% of Medicare)
Ins. Median: $3,315 (99% 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 $521 16%
Medicaid / KanCare $1,145 - $9,464 34%
Scott & White $1,145 34%
UnitedHealthcare $1,145 - $14,268 34%
Blue Cross Blue Shield $1,168 - $10,463 35%
Multiplan $1,598 - $40,052 48%
Superior $2,649 - $6,672 79%
Amerigroup $2,705 81%
Tricare $3,123 - $3,287 93%
Humana $3,234 97%
Medicare (plans) $3,234 97%
Department Of Veterans Affairs $3,287 98%
Node Hospice Non Par Agree $3,287 98%
Node Triwest $3,287 98%
Node Va $3,287 98%
Aetna $3,331 - $28,537 100%
American Health Mcr Adv $3,364 101%
Provider Partners Health Plan $3,386 101%
Node Amerigroup Mcr Adv $3,396 102%
Node Procare Mcr Adv $3,396 102%
Industrial Rehab $3,780 113%
Node Us Dept Of Labor $4,109 123%
Node Brookshire Brothers $5,752 172%
Node Brookshire Brothers Work Comp Tx $6,114 183%
Work Comp $6,574 197%
Elap $7,231 216%
Dars $11,515 344%
Tx Workforce Commission $11,515 344%
Cigna $11,915 - $21,528 356%
Healthsmart $27,535 - $35,045 824%
First Health $34,044 1018%
Medcorp Southwest Inc $35,045 1048%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals