CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Woodland Heights Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,261
  • Cash Discount Price: $15,088
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Woodland Heights Medical Center is $3,261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,088. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.98x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$15,088

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,261

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: $15,088 (451%)
Insurance Median: $3,261 (98%)
Cash: $15,088 (451% of Medicare)
Ins. Median: $3,261 (98% 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 - $1,683 34%
UnitedHealthcare $1,145 - $37,167 34%
Superior $1,202 - $4,470 36%
Multiplan $1,370 - $71,248 41%
Amerigroup $1,683 50%
Blue Cross Blue Shield $2,869 - $12,238 86%
Cigna $3,027 91%
Humana $3,234 97%
Medicare (plans) $3,234 97%
Node Triwest $3,287 98%
Node Va $3,287 98%
American Health Mcr Adv $3,364 101%
Provider Partners Health Plan $3,386 101%
Node Amerigroup Mcr Adv $3,396 102%
Node Procare Advantage $3,396 102%
Node Us Dept Of Labor $4,109 123%
Self Pay $4,191 125%
Angelina County $4,930 147%
Corporate Remedies $4,930 147%
Partners Direct Health $4,930 147%
Node Brookshire Brothers $5,752 172%
Node Brookshire Brothers Work Comp Tx $6,081 182%
Usa Managed Care $6,114 183%
Work Comp $6,574 197%
Tricare $9,906 - $10,428 296%
Department Of Veterans Affairs $10,428 312%
Texas Rehab Commission $20,955 627%
Aetna $44,426 - $71,248 1329%
Unicare $50,293 1504%
Galaxy Health Network $71,248 2131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals