CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: West Anaheim Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,188
  • Cash Discount Price: $4,187
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at West Anaheim Medical Center is $4,188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,187. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.25x the Medicare baseline. Located in 3033 W Orange Avenue, Anaheim, CA.
Cash / Self-Pay
$4,187

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,188

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: $4,187 (125%)
Insurance Median: $4,188 (125%)
Cash: $4,187 (125% of Medicare)
Ins. Median: $4,188 (125% 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
Caloptima $790 24%
Traditional Medi-Cal $790 24%
Health Net Of Ca $846 - $6,114 25%
Blue Cross Blue Shield $4,188 125%
Blue Shield Of Ca Triwest $4,188 125%
Central Health Plan $4,188 125%
Health Net Of Ca Mhn (Bh) $4,188 125%
Medicare (plans) $4,188 125%
Molina $4,188 125%
Renal Payor Solutions $4,188 125%
Tricare $4,188 125%
Verda Health Plan $4,188 125%
Brand New Day $4,230 - $6,282 127%
Imperial Health Plan Of Ca Inc $4,439 133%
Health Net Federal Services $5,235 157%
Aetna $5,351 160%
Ca Foundation For Medical Care $5,517 165%
Workers Compensation $5,517 165%
Employer Direct Healthcare Surgery Plus $5,863 175%
Naphcare (Santa Ana - County Jail) $6,491 194%
Naphcare Residential Treatment Center $6,491 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3033 W Orange Avenue, Anaheim, CA 92804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals