CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Lodi Memorial

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $974
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Adventist Health Lodi Memorial is $974. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.29x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$974

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: $61 (2%)
Insurance Median: $974 (29%)
Cash: $61 (2% of Medicare)
Ins. Median: $974 (29% 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 $100 - $1,088 3%
Celtic Ins Company - All Plans $100 - $871 3%
Kaiser Mcal $100 - $551 3%
Medi-Cal $100 - $551 3%
Hp Mcal Pro Fee $110 3%
Healthnet Mcal $120 - $787 4%
Hp Of San Joaquin Mcal $120 - $689 4%
Medcore(Omni Ipa) Op Only- All Plans $350 - $1,391 10%
Blue Shield Epn - All Other Plans $436 - $1,734 13%
Blue Shield Non-Epn $452 - $1,798 14%
Alignment Health Plan (Ahp)-All Plans $521 - $4,316 16%
Blue Shield Mcare Adv $521 - $4,316 16%
Healthnet Mcare $521 - $4,316 16%
Hp Of San Joaquin Mcr Adv $521 - $4,316 16%
Humana $521 - $4,316 16%
Knnex Health - All Plans $521 - $5,179 16%
Tricare $521 - $4,316 16%
UnitedHealthcare $521 - $13,793 16%
Hp Healthy Kids Pro Fee $547 16%
Kaiser Commercial - All Other Plans $552 - $2,194 17%
Ah Employee Health Plan - All Plans $573 - $7,768 17%
Cigna $622 - $4,816 19%
First Health- All Plans $625 - $3,746 19%
Healthnet- All Other Plans $661 - $2,628 20%
Networks By Design- All Plans $673 - $2,676 20%
Beech Street- All Plans $677 - $4,816 20%
Hp Of San Joaquin Ppo - All Other Plans $677 - $5,083 20%
Multiplan- All Plans $677 - $4,281 20%
Kaiser Mcr Adv $703 - $4,316 21%
Western Growers- All Plans $745 - $4,281 22%
Aetna $772 - $16,622 23%
Blue Cross Blue Shield $973 - $4,296 29%
Three Rivers Provider Network- All Plans $1,211 - $4,816 36%
Cca Health Plan Mcr Adv- All Plans $4,316 129%
Bright Health - All Plans $8,631 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals