CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $12,735
- Cash Discount Price: $17,055
- vs. Medicare Baseline: 3.81x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $12,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,055. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 3.81x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$17,055
Average discount available for prompt cash payment at this facility.
Insurance Median
$12,735
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: $17,055 (510%)
Insurance Median: $12,735 (381%)
Cash: $17,055 (510% of Medicare)
Ins. Median: $12,735 (381% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 381% of the Medicare baseline (a markup of 281%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $95 - $15,691 | 3% |
| Alternate Medi-Cal [2001] | $95 | 3% |
| Blue Cross Blue Shield | $95 - $18,184 | 3% |
| Blue Shield Promise [1017] | $95 | 3% |
| Brand New Day [1089] | $95 - $790 | 3% |
| Caremore [2028] | $95 | 3% |
| Community Eldercare [1027] | $95 | 3% |
| Medi-Cal [1048] | $95 | 3% |
| Vantage [1092] | $95 - $18,606 | 3% |
| Ximed [2016] | $95 | 3% |
| Alternate Molina [1240] | $120 | 4% |
| Molina [1055] | $120 - $4,123 | 4% |
| Community Health Group [1022] | $123 | 4% |
| Health Net [1039] | $128 - $20,156 | 4% |
| Champva [1020] | $588 | 18% |
| Mid County Physicians Med Grp [1054] | $588 | 18% |
| Alameda Alliance For Health [2027] | $790 | 24% |
| Alignment Health Plan [2020] | $790 | 24% |
| California Department Of Public Health [1237] | $790 | 24% |
| California Health & Wellness Medi-Cal [1122] | $790 | 24% |
| Cms - County Medical Services [1025] | $790 - $20,156 | 24% |
| Community Care Ipa [1131] | $790 | 24% |
| Federal Prison [1031] | $790 | 24% |
| Gold Coast Health Plan [2031] | $790 | 24% |
| Health Plan Of San Joaquin [2032] | $790 | 24% |
| Hemet Community Med Grp - Promisecare [1040] | $790 | 24% |
| Imperial Health Holdings [1132] | $790 | 24% |
| Kern Health Systems [2033] | $790 | 24% |
| La Care Health Plan [2025] | $790 | 24% |
| Medicaid / KanCare | $790 | 24% |
| Regal Mg 'Heritage Provider Network' [2019] | $790 | 24% |
| San Diego County [1071] | $790 - $15,505 | 24% |
| Sd Physicians Med Grp [1076] | $790 - $20,156 | 24% |
| State Of California [1082] | $790 | 24% |
| UnitedHealthcare | $790 - $21,707 | 24% |
| Unlisted Mcal Hmo Non-Contract [1049] | $790 | 24% |
| Inland Empire Health Plan Transplant [1126] | $1,106 | 33% |
| Inland Empire Health Plan [1121] | $1,106 | 33% |
| Cal Optima [1016] | $1,146 | 34% |
| Cigna | $3,721 - $18,606 | 111% |
| Humana | $3,721 - $26,358 | 111% |
| Mc Blue Shield Generic Payor [164016] | $3,721 | 111% |
| Mc Blue Shield Hmo [164015] | $3,721 | 111% |
| Mc Brand New Day Generic Payor [164031] | $3,721 | 111% |
| Mc Brand New Day Hmo [164030] | $3,721 | 111% |
| Mc Healthnet Generic Payor [164010] | $3,721 | 111% |
| Mc Healthnet Hmo [164004] | $3,721 | 111% |
| Mc Hnet Blue&Gold Aco [164017] | $3,721 | 111% |
| Mc Scan Generic Payor [164034] | $3,721 | 111% |
| Mc Scan Hmo [164035] | $3,721 | 111% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $3,721 | 111% |
| Alternate Scan Health [2088] | $4,123 | 123% |
| Pace [2044] | $4,123 | 123% |
| San Diego Pace [2046] | $4,123 | 123% |
| Scan Health [1072] | $4,123 | 123% |
| Padres Workers Compensation [2013] | $4,993 | 149% |
| Padres [2014] | $4,993 | 149% |
| Ucr Prompt Pay Payor [8240] | $6,295 | 188% |
| Alternate Healthnet [1007] | $10,760 - $15,040 | 322% |
| Multicultural Med Grp [1057] | $11,256 | 337% |
| Blue Shield [1014] | $11,448 - $14,672 | 342% |
| Elizabeth Hospice [2018] | $12,404 | 371% |
| Scripps Clinic [1073] | $12,404 - $18,606 | 371% |
| Alternate Blue Shield [2002] | $14,672 | 439% |
| Blue Shield Transplants [1113] | $14,672 | 439% |
| Alternate Health Net Bh [2059] | $15,040 | 450% |
| Healthnet Transplants [1114] | $15,040 | 450% |
| Usoc - Us Olympic Committee [1123] | $15,319 | 458% |
| Global Excel [1036] | $15,505 | 464% |
| Sharp Health Plan [1079] | $15,505 - $15,660 | 464% |
| Graybill Med Grp [1037] | $15,660 | 468% |
| Sharp Community Med Grp [1078] | $15,660 | 468% |
| Sharp Rees Stealy [1080] | $15,660 | 468% |
| Olympus Managed Healthcare Inc [1102] | $15,691 | 469% |
| Scripps Health Plan Services [1075] | $18,606 | 557% |
| Alternate Sheriff Custody [1106] | $20,156 | 603% |
| Arch Health Partners [2000] | $20,156 | 603% |
| Axa Assistance [1098] | $20,156 | 603% |
| Cassidy Med Grp [1019] | $20,156 | 603% |
| Cmn - Canadian Medical Network [1024] | $20,156 | 603% |
| Ets - Lifetrac Network [1103] | $20,156 | 603% |
| Health Net Bh (Mhn) [1038] | $20,156 | 603% |
| Health Net Bh (Mhn) [2010] | $20,156 | 603% |
| Interlink Health Services Transplant [1124] | $20,156 | 603% |
| Interlink Health Transplant [2085] | $20,156 | 603% |
| Mgm Resorts [1053] | $20,156 | 603% |
| National Healthcare Solutions Inc [1100] | $20,156 | 603% |
| Quality Health [1069] | $20,156 | 603% |
| San Diego County Sheriff Custody [2012] | $20,156 | 603% |
| Scripps Coastal Med Grp [1074] | $20,156 | 603% |
| Tri-City [1085] | $20,156 | 603% |
| Kaiser [1046] | $20,776 | 622% |
| Embassy Sponsored [1101] | $21,086 - $21,707 | 631% |
| Interplan [1045] | $21,707 | 649% |
| Mercy Physicians Med Grp [1052] | $21,707 | 649% |
| Pacific Foundation [1063] | $21,707 | 649% |
| Beech Street [1012] | $23,257 | 696% |
| First Health [1032] | $23,257 | 696% |
| Admar [1001] | $23,877 | 714% |
| Bps - Benefit Plan Services [1015] | $23,877 | 714% |
| Multiplan [1058] | $23,877 | 714% |
| Private Healthcare Systems [1067] | $23,877 - $31,010 | 714% |
| Carnival Cruises [1018] | $24,808 | 742% |
| Alternate Kaiser Rad Onc [2089] | $31,010 | 928% |
| Sharp Healthcare Transplant [1119] | $41,863 | 1252% |