CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Oro Valley Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,607
  • Cash Discount Price: $9,854
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Oro Valley Hospital is $3,607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,854. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.08x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$9,854

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: $9,854 (295%)
Insurance Median: $3,607 (108%)
Cash: $9,854 (295% 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 - $24,635 64%
Aetna $3,436 - $7,960 103%
Caremore Health Plan $3,436 103%
Cigna $3,436 - $5,073 103%
Humana $3,436 103%
Medicare (plans) $3,436 103%
Scan Health $3,436 103%
UnitedHealthcare $3,436 - $7,511 103%
Pascua Yaqui Tribe $3,457 103%
Blue Cross Blue Shield $3,491 - $6,282 104%
Department Of Veterans Affairs $3,491 104%
Node Non Par Hospice Agree $3,491 104%
Node Triwest $3,491 104%
Node Va $3,491 104%
Tricare $3,491 104%
Fresenius Health $3,504 105%
Clover Health Mcr Adv $3,526 105%
Node Devoted Health Mcr Adv $3,539 106%
Node Banner Mcr Adv $3,607 108%
Wellcare Mcr Adv $3,607 108%
Node Us Dept Of Labor $4,364 131%
Ambetter / Centene $4,923 147%
Node Health Choice Exchange $5,202 156%
Node Fusion Network $6,285 188%
Node J Allen Inmate Health Svcs $6,634 198%
Health Net $7,332 219%
Seven Corners $8,030 240%
Self Pay $9,854 295%
Beacon Health Options $20,529 614%
Mtc $20,529 614%
First Health Coventry $21,556 645%
Coventry Work Comp Al $24,635 737%
Multiplan $34,078 1019%
Prime Health $34,900 1044%
Three Rivers $34,900 1044%
Healthsmart $36,952 1105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals