CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Baylor Scott and White Medical Center Lake Pointe

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,478
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Baylor Scott and White Medical Center Lake Pointe is $3,478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.04x the Medicare baseline. Located in 6800 Scenic Dr, Rowlett, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,478

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%)

Insurance Median: $3,478 (104%)

Ins. Median: $3,478 (104% 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
Superior Health Plan	$1,088 - $3,108	33%
Wellpoint (Fka Amerigroup)	$1,088 - $3,049	33%
Baylor Scott & White Health Plan	$2,812 - $4,884	84%
Humana	$2,960	89%
Triwest	$2,960	89%
Corvel	$3,101	93%
Prime Health Services	$3,101	93%
American Health Plan	$3,108	93%
Blue Cross Blue Shield	$3,108 - $6,816	93%
Healthspring	$3,108	93%
Molina	$3,108	93%
Procare Advantage	$3,108	93%
UnitedHealthcare	$3,404 - $5,736	102%
Ambetter / Centene	$6,128	183%
Cigna	$6,235 - $7,336	187%
Texas A&M Commerce	$7,950	238%
Healthsmart	$11,621	348%
Aetna	$13,821	413%

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 $X.
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 Baylor Scott and White Medical Center Lake Pointe 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.