CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Oroville Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,084
Cash Discount Price: $1,307
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Oroville Hospital is $3,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,307. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.92x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$1,307

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,084

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: $1,307 (39%)

Insurance Median: $3,084 (92%)

Cash: $1,307 (39% of Medicare)

Ins. Median: $3,084 (92% 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
Blue Cross Blue Shield	$282 - $4,597	8%
Butte County	$364 - $1,455	11%
Cigna	$836 - $3,343	25%
Coventry Health Care	$836 - $3,343	25%
Health Net	$836 - $3,343	25%
Multiplan	$836 - $3,343	25%
Interplan	$888 - $3,552	27%
Three Rivers Provider Network	$888 - $3,552	27%
UnitedHealthcare	$888 - $3,552	27%
Beech Street	$941 - $3,761	28%
Healthstar	$941 - $3,761	28%
Health Payors Organization	$993 - $3,970	30%
Blue Shield Of California	$1,014 - $4,054	30%
Aetna	$3,084	92%
Community Care	$3,084	92%
Nivano Physicians Inc	$3,084	92%
River City Medical Group	$3,392	101%
Blue Shield Value Network	$3,939	118%
Partnership Healthplan Of California	$5,089	152%

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 $1,307.
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 Oroville 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.