CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Bellin Health Oconto Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $8,664
  • Cash Discount Price: $7,517
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Bellin Health Oconto Hospital is $8,664. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,517. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.59x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.
Cash / Self-Pay
$7,517

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,664

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: $7,517 (225%)
Insurance Median: $8,664 (259%)
Cash: $7,517 (225% of Medicare)
Ins. Median: $8,664 (259% 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 259% of the Medicare baseline (a markup of 159%). 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 $3,932 - $8,928 118%
Community Care $3,932 118%
Humana $3,932 118%
My Choice $3,932 118%
Network Health $3,932 - $9,830 118%
UnitedHealthcare $4,742 - $8,084 142%
Aetna $5,782 173%
Cigna $8,176 - $8,315 245%
Common Ground $8,417 - $8,654 252%
Chorus Community Health Plan $8,674 259%
Aspirus Arise $9,053 271%
Healthsmart $9,252 277%
Ihs(Claimsbridge) $9,252 277%
Medical College Of Wi $9,252 277%
Hps/Paymedix $9,483 - $10,293 284%
Wps Insurance $9,711 290%
Allied National $9,830 294%
First Health $9,830 294%
Galaxy Health $9,830 294%
Three Rivers Provider Network $10,408 311%
Trilogy $10,408 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals