CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,727
  • Cash Discount Price: $8,187
  • vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Baylor Scott & White Medical Center -Taylor is $6,727. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,187. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.01x the Medicare baseline. Located in 305 Mallard, Taylor, TX.
Cash / Self-Pay
$8,187

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,727

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: $8,187 (245%)
Insurance Median: $6,727 (201%)
Cash: $8,187 (245% of Medicare)
Ins. Median: $6,727 (201% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $66 - $3,009 2%
Baylor Scott & White Health Plan $2,722 - $5,840 81%
Triwest $2,865 86%
Corvel $3,002 90%
Prime Health Services $3,002 90%
American Health Plan $3,009 90%
Healthspring $3,009 90%
Procare Advantage $3,009 90%
Superior Health Plan $3,009 90%
Careworks Fka Rockport $3,561 107%
Injury Management Organization $3,561 107%
Sedgwick $3,561 107%
UnitedHealthcare $6,727 201%
Humana $7,006 - $9,551 210%
Cigna $7,014 - $8,228 210%
Midcoast $7,505 225%
Quiktrip $7,505 225%
University Of Mary Hardin-Baylor $7,914 237%
Independent Medical System $8,187 245%
Curative $8,869 265%
First Health $9,551 286%
Aetna $10,200 305%
Healthsmart $10,234 - $11,621 306%
Private Health Care System $10,234 306%
Bluebell Creameries $10,916 327%
Three Rivers $10,916 327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 305 Mallard, Taylor, TX 76574
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals