CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Paradise Valley Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,188
  • Cash Discount Price: $4,187
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Paradise Valley Hospital is $4,188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,187. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$4,187

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,188

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: $4,187 (125%)
Insurance Median: $4,188 (125%)
Cash: $4,187 (125% of Medicare)
Ins. Median: $4,188 (125% 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
Aetna $790 - $5,351 24%
Blue Sheid Of Promise $790 24%
County Of San Diego $790 24%
Golden Physicians Medical Group $790 - $5,235 24%
Health Excel Ins $790 - $4,188 24%
Heritage Provider Netwrok $790 - $5,444 24%
Molina $790 - $4,188 24%
Traditional Medi-Cal $790 24%
UnitedHealthcare $790 - $4,188 24%
Health Net Of Ca $846 - $6,114 25%
Community Health Group $948 - $4,188 28%
Blue Shield Of Ca, Va $4,188 125%
Ca Foundation For Medical Care $4,188 125%
Central Health $4,188 125%
Choice Physicians Network $4,188 125%
Clever Care Of Golden State, Inc $4,188 125%
Managed Health Network $4,188 125%
Medicare (plans) $4,188 125%
Renal Payer Solutions $4,188 125%
Tricare $4,188 125%
Usa Senior Care Network $4,188 125%
Verda Health Plan $4,188 125%
Brand New Day $4,230 - $6,282 127%
Imperial Health Plan Of Ca $4,439 133%
Health Net Federal Service (Cdcr) $5,235 157%
Veterans Evaluation Services $5,235 157%
Worker Comp $5,517 165%
Integrated Medical Solutions $5,528 165%
Ca Dept Of Correction & Rehab $5,863 175%
Employer Direct Healthcare $5,863 175%
Naphcare $6,491 - $8,375 194%
Scripps Health $7,119 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals