CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Natividad Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$941

about 0.3× the $3,343 Medicare rate · typically $614–$5,046

modeled estimate · not a bill or quote

What this hospital charges insurers

$647

Below the fair price — a good deal

about $294 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $941 This hospital $647 Cash price $1,803 Hospital's list price $1,803

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 CA hospitals compared.

Cheapest $551 Priciest $860

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 $941 (about 0.3× the $3,343 Medicare rate). Natividad Medical Center charges insurers about $647, or about $1,803 in cash — below the fair price — a good deal. Located in Salinas, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor	$647	19%
Blue Cross Blue Shieldmajor	$647 - $696	19%
Aetnamajor	$539	16%
Cignamajor	$1,533	46%
+ 3 smaller / regional plans	$539 - $674

Government programs also on file: Medicaid.

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 1,803), 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 Natividad 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 Natividad Medical Center

Compare: Knee arthroscopy with meniscus repair at other CA hospitals

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