CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Reedley

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $711
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Adventist Health Reedley is $711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.21x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$711

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: $66 (2%)
Insurance Median: $711 (21%)
Cash: $66 (2% of Medicare)
Ins. Median: $711 (21% 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
Bc Mcal $95 - $1,065 3%
Cal Viva Hlth Mcal - All Plans $95 - $551 3%
Central Ca Alliance Mcal Profee Only $95 3%
Dignity Mcal Op/Profee Only-All Other Plans $95 - $606 3%
Medi-Cal $95 - $551 3%
Upn Mcal Profee Only-All Other Plans $95 3%
Kern Health Systems Mcal-All Plans $119 - $551 4%
Central Ca Alliance Ccs Profee Only $142 4%
Central Ca Alliance Comm Profee Only - All Other P $142 4%
Central Ca Alliance Chdp Profee Only $190 6%
Physicians Med Group Op/Profee Only- All Plans $208 - $1,530 6%
Healthnet Medi-Cal $287 9%
Blue Shield Mcare $521 - $4,208 16%
Fhcn Pace Mcr Adv-All Plans $521 - $4,208 16%
Lasalle Med Assoc Profee Only - All Plans $521 16%
Sante Ipa Mcal/Mcare Hmo Profee Only $521 16%
Tricare $521 - $4,208 16%
UnitedHealthcare $521 - $30,542 16%
Upn Mcr Adv Profee Only $521 16%
Aetna $557 - $15,402 17%
Ah Employee Health Plan - All Plans $573 - $7,575 17%
Cigna $622 - $1,243 19%
Community Care Ipa Mcal-All Plans $625 - $716 19%
Sante Ipa Hmo Profee Only - All Other Plans $625 19%
Kaiser - All Other Plans $703 - $956 21%
Kaiser Mcr Adv $703 - $4,208 21%
Western Growers/Pinnacle- All Plans $724 - $10,215 22%
Healthnet- All Other Plans $759 - $832 23%
Blue Shield Epn - All Other Plans $813 - $1,036 24%
Blue Shield Non Epn $859 - $1,195 26%
Blue Cross Blue Shield $1,258 - $14,493 38%
Dignity Mcr Adv Op/Profee Only $4,208 126%
Healthnet- Mcr Adv $4,208 126%
Phs Prime Health Srvcs $4,208 126%
Bright Health Mcr Adv - All Plans $6,607 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals