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Knee arthroscopy with meniscectomy

CPT 29881 · negotiated-rate distribution across hospitals in TX

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Hospitals
56
Min
$509.83
Median
$3,404.28
Max
$7,005.00
Range multiplier
13.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield47278$500.51$4,051.43$15,22030.4×
UnitedHealthcare43128$161.62$3,404.92$11,86173.4×
Aetna4075$436.08$2,888.92$13,82131.7×
baylor scott & white health plan1768$2,711.50$3,618.03$5,032.781.9×
Humana4064$436.08$2,960.24$9,507.0021.8×
Cigna3162$348.86$5,745.00$30,44087.3×
Medicaid1839$375.53$903.55$1,418.323.8×
Medicare1136$1,487.08$2,903.95$3,400.762.3×
superior health plan1934$1,088.27$1,998.45$3,118.152.9×
Anthem BCBS325$375.53$791.70$8,006.0021.3×
american health plan1818$2,996.92$3,108.25$3,202.681.1×
procare advantage1717$2,996.92$3,108.25$3,202.681.1×
triwest1717$2,854.21$2,960.24$3,050.171.1×
Ambetter1616$1,487.08$6,127.70$6,550.244.4×
prime health services1415$2,990.07$3,101.15$19,7866.6×
healthsmart1414$11,621$11,621$11,6211.0×
healthspring1414$2,996.92$3,074.15$3,118.151.0×
corvel1313$2,990.07$3,101.15$3,195.361.1×
Molina89$1,142.68$3,084.00$3,392.003.0×
wellpoint59$1,186.21$3,084.00$4,112.943.5×
wellpoint (fka amerigroup)48$1,088.27$2,068.66$3,049.052.8×
commercial | entrust | all plans88$5,629.56$6,686.17$7,448.871.3×
commercial | community health choice | exchange77$2,877.94$4,248.40$4,250.961.5×
wellmed77$436.08$3,046.62$3,084.007.1×
commercial | beechstreet | all plans66$2,353.00$2,353.00$2,353.001.0×
commercial | phcs | all plans66$7,089.00$7,089.00$7,089.001.0×
sedgwick66$4,267.04$4,377.84$4,560.001.1×
Medicare Advantage26$1,487.08$1,487.08$1,487.081.0×
commercial | kelseycare | exchange55$3,823.56$3,825.86$3,825.861.0×
commercial | nxhealth | all plans55$9,148.04$9,204.88$9,210.401.0×
commercial | renaissance | all plans55$2,039.23$2,040.46$2,040.461.0×
commercial | superior health plan | all plans55$4,248.40$4,250.96$4,250.961.0×
commercial | harris health | ers55$4,248.40$4,250.96$4,250.961.0×
90 degree benefits55$3,084.00$7,616.56$7,616.562.5×
commercial | independent med system | all plans55$2,202.00$2,202.00$2,202.001.0×
commercial | kelseycare | all plans55$2,404.80$2,404.80$2,404.801.0×
care improvement44$3,046.62$3,046.62$3,046.621.0×
caprock44$7,616.56$7,616.56$7,616.561.0×
commercial | healthsmart | ap344$1,929.00$1,929.00$1,929.001.0×
insurance management services44$4,966.00$4,966.00$4,966.001.0×
insurance services of lubbock44$4,966.00$4,966.00$4,966.001.0×
kempton group44$6,093.25$6,093.25$6,093.251.0×
mhs care connect24$375.53$375.53$375.531.0×
optum24$10,032$10,032$10,0321.0×
patoka valley tier 124$791.70$791.70$791.701.0×
patoka valley tier 224$791.70$791.70$791.701.0×
pdh/texas trust44$6,093.25$6,093.25$6,093.251.0×
scott & white44$4,874.60$4,874.60$4,874.601.0×
prominence health13$3,084.00$3,238.00$3,238.001.0×
Multiplan23$909.00$4,725.75$7,659.008.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Burleson St. Joseph Health CenterCaldwellTX3$877.23$921.09$4,232.37
Golden Plains Community HospitalBorgerTX6$1,896.00$1,327.20$348.86$891.12$1,289.28
Ascension Seton Shoal CreekAustinTX18$161.62$791.70$1,487.08
Ascension Seton BastropBastropTX18$161.62$791.70$1,487.08
Glen Rose Medical CenterGlen RoseTX8$10,007$10,007$4,603.00$7,005.00$9,507.00
Crescent Medical Center LancasterLancasterTX12$30,440$19,786$2,645.00$6,613.00$419,995
Baylor Orthopedic And Spine HospitalArlingtonTX3$5,517.00$3,310.20$3,034.35$5,452.00$8,427.00
Acuity Hospital Of South TexasSan AntonioTX1$509.83$509.83$509.83
River Crest HospitalSan AngeloTX14$1,142.68$4,966.00$7,801.73
Shannon Medical CenterSan AngeloTX14$1,142.68$4,966.00$7,801.73
Big Spring State HospitalBig SpringsTX14$1,142.68$4,966.00$7,801.73
San Angelo Community Medical CenterSan AngeloTX14$1,142.68$4,966.00$7,801.73
Scott & White Hospital BrenhamBrenhamTX5$4,051.43$4,681.04$11,621
Baylor S&W Medical Center - PlanoPlanoTX16$1,088.27$4,379.92$13,821
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$16,143$9,685.80$2,872.00$4,277.00$6,071.00
Heritage Park Surgical HospitalShermanTX2$6,633.00$3,979.80$2,872.00$4,068.00$6,071.00
Mid Coast Medical Center-CentralLlanoTX11$1,088.27$4,051.43$10,200
Scott And White Memorial HospitalTempleTX16$1,088.27$4,051.43$11,621
Bsw Medical Center - AustinAustinTX11$1,088.27$4,051.43$10,200
Hillcrest Baptist Medical CenterWacoTX15$1,088.27$4,051.43$11,621
Baylor Scott & White PflugervillePflugervilleTX15$1,088.27$4,051.43$11,621
College Station HospitalCollege StationTX15$2,897.66$4,051.43$11,621
Scott And White Hospital TaylorTaylorTX11$1,088.27$4,051.43$10,200
Round Rock HospitalRound RockTX17$1,088.27$3,842.51$11,621
Baylor Scott & White - BudaBudaTX11$1,088.27$3,842.51$10,200
Baylor Scott & White - Marble FallsMarble FallsTX15$1,088.27$3,816.73$11,621
Baylor S&W Medical Center - MckinneyMckinneyTX15$1,088.27$3,715.10$13,821
Baylor Medical Center-GrapevineGrapevineTX15$1,088.27$3,645.27$13,821
Baylor University Medical CtrDallasTX18$1,088.27$3,633.70$13,821
Baylor S&W Medical Center - IrvingIrvingTX16$1,088.27$3,552.29$13,821
Baylor Scott & White Mc- Lake PointeRowlettTX18$1,088.27$3,478.29$13,821
Centennial Medical CenterFriscoTX17$1,088.27$3,404.28$13,821
St. Joseph Regional Health CenterBryanTX9$877.23$3,182.24$11,861
College Station Medical CenterCollege StationTX9$877.23$3,182.24$11,861
North Texas Medical CenterGainsvilleTX17$10,942$2,736.00$519.00$3,084.00$10,067
Scott & White Cedar ParkCedar ParkTX1$3,040.05$3,040.05$3,040.05
St Lukes Hospital At The VintageHoustonTX19$601.39$2,890.65$9,210.40
St. Lukes Sugar Land HospitalSugar LandTX17$601.39$2,890.65$7,089.00
St. Lukes Patients Medical CenterPasadenaTX14$6,301.00$2,205.35$601.39$2,888.92$7,089.00
Chi St Lukes Health Baylor Med CtrHoustonTX18$569.06$2,888.92$9,204.88
St. Lukes The Woodlands HospitalThe WoodlandsTX18$601.39$2,888.92$9,204.88
Brazosport Regional Health SystemLake JacksonTX10$907.57$2,877.94$6,684.16
St. Lukes Lakeside HospitalThe WoodlandsTX18$601.39$2,876.48$7,089.00
Chi St Lukes Health Memorial LufkinLufkinTX7$848.61$2,542.04$4,232.37
Chi St Lukes Health Mem LivingstonLivingstonTX8$529.48$2,542.04$4,232.37
Grimes St. Joseph Health CenterNavasotaTX3$877.23$2,193.17$11,861
Madison St. Joseph Health CenterMadisonvilleTX3$877.23$2,193.17$11,861
Trinity Regional Hospital SachseSachseTX8$3,324.00$2,659.20$490.70$1,661.93$8,514.60
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$1,562.00$937.00$594.00$1,429.50$1,500.00
St Lukes Health Memorial San AugustSan AugustineTX4$877.23$1,293.79$4,232.37
Childrens Medical Center Of PlanoPlanoTX5$468.95$1,142.68$1,418.32
Pam Squared At Corpus ChristiCorpus ChrstiTX2$1,088.27$1,088.27$1,088.27
Wilson N Jones Regional Medical CtrShermanTX8$3,324.00$2,659.20$490.70$1,067.90$1,661.93
Navarro Regional HospitalCorsicanaTX0$43,534$10,448
Longview Regional Medical CenterLongviewTX0$80,209$14,438
Laredo Medical CenterLaredoTX0$59,108$14,186

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.