CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Lodi Memorial

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,807

about 0.8× the $3,343 Medicare rate · typically $715–$4,085

modeled estimate · not a bill or quote

What this hospital charges insurers

$800

Below the fair price — a good deal

about $2,007 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $2,807 This hospital $800 Cash price $61 Hospital's list price $868

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 7 of 8 other CA hospitals charge less.

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 $2,807 (about 0.8× the $3,343 Medicare rate). Adventist Health Lodi Memorial charges insurers about $800, or about $61 in cash — below the fair price — a good deal. Located in Lodi, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$521 - $13,793	16%
Blue Cross Blue Shieldmajor	$436 - $4,316	13%
Aetnamajor	$772 - $16,622	23%
Cignamajor	$622 - $4,816	19%
Humanamajor	$521 - $4,316	16%
Kaiser Permanentemajor	$100 - $4,316	3%
Bright Health	$8,631	258%
Health Net	$120 - $4,316	4%
+ 13 smaller / regional plans	$100 - $7,768

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

Excludes 5 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 61), 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 Adventist Health Lodi Memorial 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 Adventist Health Lodi Memorial

Compare: Knee arthroscopy with meniscus repair at other CA hospitals

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