CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Christus Mother Frances Hospital Sulphur Springs

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,616

about 1.1× the $3,343 Medicare rate · typically $2,956–$4,041

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,342

About the fair price

about $274 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,616 This hospital $3,342

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $433 Priciest $3,342

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $3,616 (about 1.1× the $3,343 Medicare rate). Christus Mother Frances Hospital Sulphur Springs charges insurers about $3,342 — about the fair price. Located in Sulphur Springs, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,143 - $3,342	34%
Blue Cross Blue Shieldmajor	$3,342 - $6,159	100%
Aetnamajor	$3,375	101%
Cignamajor	$3,342	100%
Humanamajor	$3,342	100%
Amerigroup	$1,088 - $3,609	33%
Molina	$1,143	34%
WellCare	$3,342	100%
+ 10 smaller / regional plans	$1,088 - $4,679

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Christus Mother Frances Hospital Sulphur Springs is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Christus Mother Frances Hospital Sulphur Springs

Compare: Knee arthroscopy with meniscus repair at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.