CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Copper Queen Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $826
Cash Discount Price: $2,358
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Copper Queen Community Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,358. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.25x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.

Cash / Self-Pay

$2,358

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $2,358 (71%)

Insurance Median: $826 (25%)

Cash: $2,358 (71% of Medicare)

Ins. Median: $826 (25% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Allwell	$471 - $2,052	14%
Amerigroup	$471 - $472	14%
Azch Complete	$471 - $2,052	14%
Banner Uc Health	$471 - $2,052	14%
Humana	$471 - $472	14%
Triwest	$471 - $472	14%
UnitedHealthcare	$530 - $3,914	16%
Copperpoint	$729 - $730	22%
Bisbee Police	$766 - $767	23%
Aetna	$825 - $2,656	25%
Health Net Of Az	$825 - $1,771	25%
Apipa	$1,100 - $1,102	33%
Cigna	$1,472 - $1,476	44%
Blue Cross Blue Shield	$2,003 - $2,007	60%
Ahcccs	$2,052	61%
Mercy Care	$2,052	61%
Self Pay	$2,356 - $2,361	70%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,358.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Copper Queen Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.