CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lake Granbury Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,697
  • Cash Discount Price: $13,242
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lake Granbury Medical Center is $3,697. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,242. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.11x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$13,242

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,697

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: $13,242 (396%)
Insurance Median: $3,697 (111%)
Cash: $13,242 (396% of Medicare)
Ins. Median: $3,697 (111% 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%
Aetna $1,145 - $50,540 34%
Medicaid / KanCare $1,145 - $4,328 34%
UnitedHealthcare $1,145 - $31,273 34%
Amerigroup $1,202 36%
Healthspring $1,202 36%
Superior $1,317 - $9,820 39%
Cigna $3,527 - $28,985 106%
Humana $3,527 106%
Medicare (plans) $3,527 106%
Hospice Non Par $3,584 107%
Node Va $3,584 107%
Triwest $3,584 107%
Blue Cross Blue Shield $3,597 - $18,539 108%
Node Care N Care $3,597 108%
American Health $3,668 110%
Provider Partners Health Plan $3,691 110%
Node Amerigroup Mcr Adv $3,703 111%
Self Pay $4,414 132%
Node Us Dept Of Labor $4,480 134%
Tricare $6,156 184%
Node Brookshire Brothers $6,272 188%
Node Champva $6,480 194%
93% Payors Work Comp Tx $6,666 199%
Node Brookshire Brothers Work Comp Tx $6,666 199%
Work Comp $7,168 214%
Healthsmart $40,461 - $51,496 1210%
Multiplan $55,174 - $64,738 1650%
Santa Fe Hospital Association $58,853 1761%
Galaxy Health $69,887 2091%
Medcorp Southwest $69,887 2091%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals