CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Chino Valley 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 Chino Valley 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 5451 Walnut Ave, Chino, 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
Blue Shield Of Promise $790 24%
Molina $790 - $4,188 24%
Traditional Medi-Cal $790 24%
Vantage Care $790 - $4,188 24%
Blue Cross Blue Shield $830 25%
Health Net Of Ca $846 - $6,114 25%
Inland Empire Health Plan $1,146 - $5,235 34%
Rios $3,978 119%
Alignment $4,188 125%
Blue Shield Of Ca Triwest Healthcare Ccn $4,188 125%
Central Health Plan $4,188 125%
Choice Physicians Network $4,188 125%
Citrus Valley Physicians Group $4,188 125%
Emanate Health $4,188 - $8,375 125%
Epic Health Plan $4,188 125%
Inland Empire Foundation For Medical Care $4,188 125%
Medicare (plans) $4,188 125%
Prime Healthcare Services $4,188 125%
Renal Payer Solutions $4,188 125%
Tricare $4,188 125%
Brand New Day $4,230 - $6,282 127%
Neighborhood $4,271 128%
Imperial Health Plan Of Ca $4,439 133%
Health Net Federal Services Cdcr $5,235 157%
Aetna $5,351 160%
Worker Compensation $5,517 165%
Employer Direct Healthcare $5,863 175%
Naphcare $6,491 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5451 Walnut Ave, Chino, CA 91710
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals