CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Dallas Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,434
Cash Discount Price: $3,270
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Dallas Regional Medical Center is $3,434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,270. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.03x the Medicare baseline. Located in 1011 North Galloway Avenue, Mesquite, TX.

Cash / Self-Pay

$3,270

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,434

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: $3,270 (98%)

Insurance Median: $3,434 (103%)

Cash: $3,270 (98% of Medicare)

Ins. Median: $3,434 (103% 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
UnitedHealthcare	$1,468 - $3,271	44%
Aetna	$1,900 - $4,906	57%
Careworks Fka (Rockport Community Network) Workercomp	$3,107	93%
Blue Cross Blue Shield	$3,173 - $6,159	95%
Care N Care Insurance Company	$3,271	98%
Cigna	$3,271 - $3,369	98%
Medicare (plans)	$3,271	98%
Superior Health Plan/Wellcare	$3,271 - $4,252	98%
Texas Bluebonnett Health Plan	$3,271 - $5,397	98%
Tricare	$3,271	98%
Usa Senior Care Network	$3,271	98%
Wellmed	$3,271	98%
Wellpoint Amerigroup	$3,271	98%
Molina	$3,434	103%
Multiplan	$3,434	103%
Provider Partners Health Plan	$3,434	103%
Imperial Insurance Companies Mcr	$3,467	104%
American Health Plan	$3,598	108%
Hi Card	$4,088	122%
Worker Compensation	$4,252 - $6,542	127%
American Correction Healthcare	$4,514	135%
Employee Direct Healthcare	$4,579	137%
Total Plans Srvices	$4,579	137%
Wellpath	$4,743	142%
Corporate Remedies Workers Comp	$4,906	147%
Naphcare -Prison	$5,070	152%
Elap Services	$5,397	161%

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 $3,270.
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 Dallas 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.