CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Garden Grove Hospital & Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,658

about 1.4× the $3,343 Medicare rate · typically $4,124–$6,458

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,188

Below the fair price — a good deal

about $470 under the fair price · 1.3× Medicare

Medicare pays $3,343 Fair price $4,658 This hospital $4,188 Cash price $4,187 Hospital's list price $8,373

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $551 Priciest $4,188

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $4,658 (about 1.4× the $3,343 Medicare rate). Garden Grove Hospital & Medical Center charges insurers about $4,188, or about $4,187 in cash — below the fair price — a good deal. Located in Garden Grove, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$4,188	125%
Aetnamajor	$5,351	160%
Health Net	$846 - $6,114	25%
Molina	$790 - $4,188	24%
Sentara	$790	24%
+ 9 smaller / regional plans	$4,188 - $6,282

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,187), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Garden Grove Hospital & Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Garden Grove Hospital & Medical Center

Compare: Knee arthroscopy with meniscus repair at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.