CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Yavapai Regional Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,674

about 0.5× the $3,343 Medicare rate · typically $1,127–$3,591

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,120

Below the fair price — a good deal

about $554 under the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $1,674 This hospital $1,120 Cash price $844 Hospital's list price $1,137

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 AZ hospitals compared.

Cheapest $495 Priciest $2,052

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $1,674 (about 0.5× the $3,343 Medicare rate). Yavapai Regional Medical Center charges insurers about $1,120, or about $844 in cash — below the fair price — a good deal. Located in Prescott, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$575 - $1,165	17%
Blue Cross Blue Shieldmajor	$968 - $1,171	29%
Aetnamajor	$1,023 - $1,137	31%
Cignamajor	$966 - $1,137	29%
Humanamajor	$575 - $1,137	17%
Banner Health	$575 - $1,137	17%
Devoted Health	$1,205	36%
Health Net	$575 - $1,137	17%
WellCare	$1,137 - $1,194	34%
+ 11 smaller / regional plans	$575 - $1,194

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 844), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Yavapai Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Yavapai Regional Medical Center

Compare: Knee arthroscopy with meniscus repair at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.