CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Clovis Community Medical Center
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $573
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Clovis Community Medical Center is $573. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$573
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%)
Insurance Median: $573 (17%)
Ins. Median: $573 (17% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $95 - $7,078 | 3% |
| Advantek Table Mountain Rancheria Tribal Member | $521 - $4,208 | 16% |
| Aetna | $521 - $5,784 | 16% |
| Blue Shield | $521 - $6,637 | 16% |
| Blue Shield 65 Plus Hmo Ehs | $521 - $4,208 | 16% |
| Blue Shield 65 Plus Hmo First Choice | $521 - $4,208 | 16% |
| Blue Shield Hmo-Cvmp/Medpro | $521 - $4,208 | 16% |
| Blue Shield Promise - Imperial | $521 - $4,208 | 16% |
| Blue Shield Saint Agnes | $521 - $4,208 | 16% |
| Blue Shield Sante | $521 - $4,208 | 16% |
| Brand New Day | $521 - $4,208 | 16% |
| Bscphp - Dhmso | $521 - $4,208 | 16% |
| Bscphp - First Choice | $521 - $4,208 | 16% |
| Bscphp Hmo - First Choice | $521 - $4,208 | 16% |
| Care1St Hmo - Ehs | $521 - $4,208 | 16% |
| Cares Act Provider Relief Fund | $521 - $4,208 | 16% |
| Cigna | $521 - $8,198 | 16% |
| Gemcare Hmo | $521 - $4,208 | 16% |
| Generic | $521 - $4,208 | 16% |
| Generic Bscphp | $521 - $4,208 | 16% |
| Generic Victims Of Crime | $521 - $4,208 | 16% |
| Hartford Life Supplement | $521 - $4,208 | 16% |
| Healthnet Hmo - Cvmp/Medpro | $521 - $4,208 | 16% |
| Healthnet Hmo - Dhmso | $521 - $4,208 | 16% |
| Healthnet Hmo - La Salle | $521 - $4,208 | 16% |
| Healthnet Hmo - Sante | $521 - $4,208 | 16% |
| Healthnet Sante | $521 - $4,208 | 16% |
| Healthnet Sante - Sub Cap Dual Risk | $521 - $4,208 | 16% |
| Healthnet Sante Dual Risk | $521 - $4,208 | 16% |
| Humana | $521 - $4,208 | 16% |
| Medi-Cal Innovative Integrated Health | $521 - $4,208 | 16% |
| Medicare (plans) | $521 - $4,208 | 16% |
| Meritage Blue Shield 65 Plus | $521 - $4,208 | 16% |
| Meritage Brand New Day | $521 - $4,208 | 16% |
| Meritage Healthnet Hmo | $521 - $4,208 | 16% |
| Railroad Part A | $521 - $4,208 | 16% |
| Railroad Part A & B | $521 - $4,208 | 16% |
| Railroad Part B | $521 - $4,208 | 16% |
| Sante | $521 - $4,208 | 16% |
| Sante Sub Cap Healthnet Seniority | $521 - $4,208 | 16% |
| Sante Sub Cap-Blue Shield/Sante | $521 - $4,208 | 16% |
| Sante-Blue Shield/Sante | $521 - $4,208 | 16% |
| Sante-Healthnet Seniority | $521 - $4,208 | 16% |
| Sante-Sub Cap Ma Brand New Day | $521 - $4,208 | 16% |
| Scan Health Plan | $521 - $4,208 | 16% |
| Sequoia Pace - Peak Tpa | $521 - $4,208 | 16% |
| Todays Pyramid | $521 - $4,208 | 16% |
| UnitedHealthcare | $521 - $8,367 | 16% |
| Us Marshal | $521 - $4,208 | 16% |
| Victims Of Crime | $521 - $4,208 | 16% |
| Well Path (Cfmg) | $521 | 16% |
| Wellcare | $521 - $4,208 | 16% |
| Cal Caloptima | $551 | 16% |
| Ccs Fresno | $551 | 16% |
| Ccs Kern | $551 | 16% |
| Ccs Kings | $551 | 16% |
| Ccs Madera/Sacramento | $551 | 16% |
| Ccs Mariposa | $551 | 16% |
| Ccs Merced | $551 | 16% |
| Ccs Stanislaus | $551 | 16% |
| Ccs Tulare | $551 | 16% |
| Chdp | $551 | 16% |
| Fresno County Funded Specialty Care | $551 | 16% |
| Generic Care Out Of County | $551 | 16% |
| Generic Ccs Other Counties | $551 | 16% |
| Genetically Handicapped Person | $551 | 16% |
| Gold Coast Medi-Cal | $551 | 16% |
| Medi-Cal Alameda Alliance For Health | $551 | 16% |
| Medi-Cal Blue Shield Promise Health | $551 | 16% |
| Medi-Cal California Health & Wellness Plan | $551 | 16% |
| Medi-Cal Cencal Health | $551 | 16% |
| Medi-Cal Community Health Group | $551 | 16% |
| Medi-Cal Contra Costa Health Plan | $551 | 16% |
| Medi-Cal Health Plan Of San Mateo | $551 | 16% |
| Medi-Cal Inland Empire Health | $551 | 16% |
| Medi-Cal Kern Family Health | $551 | 16% |
| Medi-Cal La Care Health | $551 | 16% |
| Medi-Cal Molina | $551 | 16% |
| Medi-Cal Partnership Health Plan Of Ca | $551 | 16% |
| San Francisco Health Plan Medi-Cal | $551 | 16% |
| Santa Clara Family Health Plan - Premier Health | $551 | 16% |
| Santa Clara Family Health Plan - Valley Health | $551 | 16% |
| Alignment Health Plan | $573 - $4,629 | 17% |
| Champion Health Plan Of California Ma | $573 - $4,629 | 17% |
| Innovative Integrated Health Community Plans Hmo | $573 - $4,629 | 17% |
| Imperial Health Plan Hmo | $599 - $4,840 | 18% |
| Correctcare Integrated Health | $677 - $5,471 | 20% |
| Health Plan Of San Joaquin | $826 | 25% |
| Sequoia Pace | $826 | 25% |
| Adventist -Mcl Calviva Sub Cap | $909 | 27% |
| Coalinga State Hospital | $1,042 - $8,417 | 31% |
| Healthnet | $1,061 | 32% |
| Naphcare Inc-Mendota | $1,120 - $9,048 | 34% |
| Kaiser | $3,343 | 100% |
| Generic Multiplan | $8,490 | 254% |
| Phcs | $8,490 | 254% |