CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Northwest Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,607
  • Cash Discount Price: $10,321
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Northwest Medical Center is $3,607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,321. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.08x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$10,321

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,607

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: $10,321 (309%)
Insurance Median: $3,607 (108%)
Cash: $10,321 (309% of Medicare)
Ins. Median: $3,607 (108% 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
Veterans Eval Services $525 16%
Medicaid / KanCare $2,032 - $2,174 61%
Magellan $2,133 - $3,607 64%
Aetna $3,436 - $19,353 103%
Cigna $3,436 - $5,073 103%
Humana $3,436 103%
Medicare (plans) $3,436 103%
Node Caremore Mcr Adv $3,436 103%
Scan Health Plan $3,436 103%
UnitedHealthcare $3,436 - $21,503 103%
Pascua Yaqui Tribe $3,457 103%
Blue Cross Blue Shield $3,491 - $6,451 104%
Department Of Veterans Affairs $3,491 104%
Node Non Par Hospice Agree $3,491 104%
Node Va $3,491 104%
Tricare $3,491 104%
Triwest $3,491 104%
Fresenius Health $3,504 105%
Node Clover Health Mcr Adv $3,526 105%
Node Devoted Health Mcr Adv $3,539 106%
Node Banner Mcr Adv $3,607 108%
Wellcare $3,607 108%
Node Us Dept Of Labor $4,364 131%
Ambetter / Centene $4,923 147%
Node Health Choice Health Exchange $5,132 154%
Health Net $5,534 166%
Node Fusion Network $6,285 188%
Node J Allen Inmate Health Svcs $6,634 198%
Seven Corners $8,030 240%
Self Pay $10,321 309%
First Health Coventry $22,578 675%
Coventry Medical Center $25,803 772%
Multiplan $35,695 1068%
Prime Health $36,555 1094%
Healthsmart $38,705 1158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals