CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Crescent Medical Center Lancaster

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,613
  • Cash Discount Price: $14,192
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Crescent Medical Center Lancaster is $6,613. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,192. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.98x the Medicare baseline. Located in 2600 West Pleasant Run Road, Lancaster, TX.
Cash / Self-Pay
$14,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,613

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: $14,192 (425%)
Insurance Median: $6,613 (198%)
Cash: $14,192 (425% of Medicare)
Ins. Median: $6,613 (198% 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
Oscar $2,645 - $6,088 79%
Wellmed $2,940 88%
Aetna $3,000 90%
Choice Care $3,000 90%
Superior Health Plan $3,000 90%
UnitedHealthcare $3,000 90%
Wellcare $3,000 90%
Blue Cross Blue Shield $5,290 - $15,220 158%
Prime Health Services $8,597 - $19,786 257%
Cigna $13,226 - $30,440 396%
Friday Health Insurance Company $17,194 - $39,572 514%
Sana Benefits $419,995 12564%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 West Pleasant Run Road, Lancaster, TX 75146
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals