CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Comanche County Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,850
  • Cash Discount Price: $5,004
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Comanche County Medical Center is $4,850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,004. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.45x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$5,004

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,850

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: $5,004 (150%)
Insurance Median: $4,850 (145%)
Cash: $5,004 (150% of Medicare)
Ins. Median: $4,850 (145% 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
Choicecare Comm - All Other Plans $2,849 85%
Choicecare Mcr Adv $2,849 85%
Humana $2,849 - $5,389 85%
Molina Mcr Adv - All Other Plans $2,849 85%
Pphp Mcr Adv - All Plans $2,849 85%
Superior Epo/Hmo - All Plans $2,849 85%
Swhp Mcr Adv $2,849 85%
Wellmed Mcr Adv - All Plans $2,849 85%
Alliance Wc - All Plans $4,273 128%
Aetna $4,850 145%
Molina Mcaid $4,850 145%
Swhp Mcaid $4,850 145%
Cigna $5,000 150%
Blue Cross Blue Shield $5,389 - $5,774 161%
Occunet - All Plans $5,774 173%
Swhp Comm - All Other Plans $6,159 184%
First Care Hmo - All Other Plans $6,544 196%
First Care Hmo Self Funded $6,544 196%
Mpi - All Plans $6,929 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals