CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Adventist Health White Memorial
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $553
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Adventist Health White Memorial is $553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$82
Average discount available for prompt cash payment at this facility.
Insurance Median
$553
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: $82 (2%)
Insurance Median: $553 (17%)
Cash: $82 (2% of Medicare)
Ins. Median: $553 (17% 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
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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 |
|---|---|---|
| Prospect Mg Com/Pos Profee Only-All Other Plan | $84 - $300 | 3% |
| Prospect Mg Mcal Profee Only | $84 - $300 | 3% |
| Prospect Mg Mcr Adv Profee Only | $84 - $300 | 3% |
| Multiplan Ppo - All Plans | $232 - $2,551 | 7% |
| Access Medi-Cal | $279 - $551 | 8% |
| Ahp Medi-Cal | $279 - $771 | 8% |
| Altamed Medi-Cal - All Other Plans | $279 - $634 | 8% |
| Assoc Hispanic Physcns Mcal | $279 - $771 | 8% |
| Bc Medi-Cal | $279 - $1,026 | 8% |
| Bella Vista Medi-Cal Op/Profee Only | $279 - $771 | 8% |
| Blue Shield Medi-Cal | $279 - $1,100 | 8% |
| Care First Medi-Cal | $279 - $1,100 | 8% |
| El Proyecto Mcal Profee Only | $279 - $771 | 8% |
| Fcs Ipa Medi-Cal Op/Profee Only | $279 - $661 | 8% |
| Global Care Mcal Profee Only | $279 - $771 | 8% |
| Hcla Mcal Profee Only | $279 - $771 | 8% |
| Healthcare Inc Medi-Cal | $279 - $551 | 8% |
| Healthnet Mcal | $279 - $656 | 8% |
| Lasalle Mg Medi-Cal | $279 - $551 | 8% |
| Medi-Cal | $279 - $551 | 8% |
| Molina Medi-Cal | $279 - $882 | 8% |
| Pacific Alliance Medi-Cal | $279 - $551 | 8% |
| Pacific Ipa Medi-Cal | $279 - $551 | 8% |
| Preferred Medi-Cal | $279 - $551 | 8% |
| Access Group | $470 - $3,577 | 14% |
| Lasalle Mg Commercial - All Other Plans | $470 - $3,577 | 14% |
| Alta Los Angeles Mcal 1/1/19 | $551 | 16% |
| Preferred Ipa La Care Mcal Cap | $551 | 16% |
| Access Senior - All Other Plans | $553 - $4,208 | 17% |
| Ahp - All Other Plans | $553 - $3,577 | 17% |
| Ahp Senior | $553 - $4,208 | 17% |
| Altamed Connect | $553 - $4,208 | 17% |
| Avanti Mcr Adv - All Other Plans | $553 - $4,208 | 17% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $553 - $1,600 | 17% |
| Blue Cross Blue Shield | $553 - $9,697 | 17% |
| Brand New Day Mcare - All Plans | $553 - $4,208 | 17% |
| Bs Va Mcare | $553 - $4,208 | 17% |
| Care First Mcare - All Other Plans | $553 - $4,208 | 17% |
| Caremore Mcare - All Plans | $553 - $1,024 | 17% |
| Clever Care - All Plans | $553 - $4,208 | 17% |
| El Proyecto Comm Profee Only - All Other Plans | $553 | 17% |
| El Proyecto Mcr Profee Only | $553 | 17% |
| Fcs Ipa Mcr Advan Op/Profee Only | $553 - $4,208 | 17% |
| Global Care Comm Profee Only - All Other Plans | $553 | 17% |
| Global Care Mcr Profee Only | $553 | 17% |
| Hcla Comm Profee Only - All Other Plans | $553 | 17% |
| Hcla Mcr Profee Only | $553 | 17% |
| Humana | $553 - $4,208 | 17% |
| La Care Mcr Adv - All Plans | $553 - $1,127 | 17% |
| Lasalle Mg Senior | $553 - $4,208 | 17% |
| Medicare (plans) | $553 - $5,471 | 17% |
| Pacific Alliance Mcare - All Other Plans | $553 - $4,208 | 17% |
| Preferred Senior | $553 - $4,208 | 17% |
| Scan Health Mcare - All Plans | $553 - $1,332 | 17% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $553 - $4,208 | 17% |
| Tricare | $553 - $4,208 | 17% |
| UnitedHealthcare | $553 - $12,299 | 17% |
| Fcs Ipa Op/Profee Only - All Other Plans | $581 - $4,419 | 17% |
| Blue Shield Mcr Adv | $606 - $1,435 | 18% |
| Ah Employee Health Plan - All Plans | $609 - $7,575 | 18% |
| Molina Benefit Exchange - All Other Plans | $636 - $5,681 | 19% |
| Molina Mcare | $636 - $4,208 | 19% |
| Cigna | $644 - $867 | 19% |
| Aetna | $652 - $5,823 | 20% |
| Preferred Commercial - All Other Plans | $664 - $5,050 | 20% |
| Preferred Healthy | $689 | 21% |
| Intergrated Medical - All Plans | $719 - $5,471 | 22% |
| Western Growers/Pinnacle - All Plans | $769 - $8,884 | 23% |
| Pacific Ipa - All Other Plans | $779 | 23% |
| Healthnet - All Other Plans | $806 - $969 | 24% |
| Healthnet Comm Care | $806 - $996 | 24% |
| Centivo - All Plans | $830 - $9,469 | 25% |
| Kaiser- All Plans | $840 | 25% |
| Healthnet Mcr Adv | $847 - $3,135 | 25% |
| Blue Shield Epn | $867 - $7,478 | 26% |
| Blue Shield - All Other Plans | $916 - $8,626 | 27% |
| Healthcare Inc - All Other Plans | $963 | 29% |
| Hcpamg - All Plans | $1,012 | 30% |
| First Heatlh Ppo - All Plans | $1,188 | 36% |
| Phcs Ppo - All Plans | $1,332 | 40% |
| Ahf - All Plans | $1,537 | 46% |
| Beech Street - All Plans | $1,537 | 46% |
| Interplan Ppo - All Plans | $1,537 | 46% |
| Corvel Corp - All Plans | $1,639 | 49% |
| Healthmannet - All Plans | $1,742 | 52% |
| Next Inc Ppo - All Plans | $1,742 | 52% |
| Trpn - All Plans | $1,742 | 52% |
| Fpn Ppo - All Plans | $1,844 | 55% |
| Avanti Mcal | $3,074 | 92% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $4,208 | 126% |
| Bright Health - All Plans | $4,840 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $5,050 | 151% |
| Php-Prospect Health Plan Cap - All Plans | $6,313 | 189% |