CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Memorial Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $967
  • Cash Discount Price: $699
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Memorial Medical Center is $967. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $699. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.29x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$699

Average discount available for prompt cash payment at this facility.

Insurance Median
$967

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: $699 (21%)
Insurance Median: $967 (29%)
Cash: $699 (21% of Medicare)
Ins. Median: $967 (29% 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
Ambetter / Centene $168 - $2,726 5%
Healthcare Highways-All Plans $341 - $6,490 10%
Prime Healthcare Services-All Plans $367 - $5,678 11%
Blue Cross Blue Shield $393 - $2,474 12%
Humana $419 - $6,490 13%
Corvel Work Comp-All Plans $445 - $6,895 13%
Independent Med Sys Ppo-All Plans $445 - $6,895 13%
Multiplan Mcr Adv $445 - $2,271 13%
Multiplan Phcs Ppo-All Other Plans $445 - $6,895 13%
Provider Select Ppo-All Plans $445 - $6,895 13%
Three Rivers Ppo-All Plans $445 - $6,895 13%
Usa Mso - All Plans $445 - $6,895 13%
Triwest Va Pccc-All Plans $489 - $2,226 15%
Amerigroup Mcr Adv-All Other Plans $499 - $2,271 15%
Care Improvement Plus - All Other Plans $499 - $2,271 15%
Care Improvement Plus Mcr $499 - $2,294 15%
Superior Allwell Mcr Adv-All Other Plans $499 - $2,271 15%
UnitedHealthcare $499 - $6,490 15%
Universal American Mcr-All Other Plans $499 - $2,271 15%
Amerigroup Chip $524 - $3,894 16%
Amerigroup Star $524 - $3,894 16%
Amerigroup Star Kids $524 - $3,894 16%
Amerigroup Star Plus $524 - $3,894 16%
Comm Health Chip $524 - $3,894 16%
Comm Health Perinatal-All Other Plans $524 - $3,894 16%
Molina Chip/Star-All Plans $524 - $3,894 16%
Scott & White Chip/Star-All Plans $524 - $3,894 16%
Superior Chip/Star $524 - $3,894 16%
Texas Childrens Hp - All Plans $524 - $3,894 16%
Universal American Snp $524 - $2,385 16%
Comm Health Mcaid Hmo $550 - $4,088 16%
Comm Health Star $550 - $4,088 16%
Coventry First Hlth Hmo Ppo-All Other Plans $624 - $6,490 19%
Coventry First Hlth Mcr Adv $624 - $2,271 19%
Galaxy Health Network-All Plans $723 - $6,895 22%
Capstar Health Network-All Plans $870 - $6,490 26%
Cigna $870 - $6,084 26%
Aetna $6,490 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals