CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Menifee Global Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,188
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Menifee Global Medical Center is $4,188. 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 1.25x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $4,188 (125%)
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.

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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
Tricare $456 - $4,040 14%
Lasalle Medical Assoc (Ancillary) Mcal Hmo $650 19%
Health Net Enhanced Ppo $750 - $5,863 22%
Health Net Medi-Cal $790 24%
Ic $790 - $4,188 24%
Kaiser Medi-Cal $790 24%
Prospect Health Plan Mcal Hmo $814 24%
Blue Cross Blue Shield $830 25%
Molina Medi-Cal $933 28%
Altamed Mcal Hmo $1,106 33%
Altamed Mcal/Pace $1,106 33%
Iehp Medi-Cal $1,186 35%
Cigna $3,681 110%
Molina Covered Ca $4,122 123%
Aetna $4,188 125%
Altamed Comm Hmo (Ancillary) $4,188 125%
Altamed Health Services Senior $4,188 125%
Altamed Sr/Pace $4,188 125%
Blue Shield Senior $4,188 125%
Central Health Plan Senior $4,188 125%
Clever Care Health Plan Sr $4,188 125%
For Your Benefit Senior $4,188 125%
Guidant Health Plan Senior $4,188 125%
Health Net Senior $4,188 125%
Hpn Senior $4,188 125%
Humana $4,188 125%
Kaiser Senior $4,188 125%
Lasalle Medical Assoc (Ancillary) Senior $4,188 125%
Managed Health Network Sr $4,188 125%
Medicare (plans) $4,188 125%
Neighborhood Healthcare Pace $4,188 125%
Primecare Senior $4,188 125%
Prospect Health Plan Sr Hmo $4,188 125%
Scan Senior $4,188 125%
Sr Capitation $4,188 125%
UnitedHealthcare $4,188 - $6,190 125%
Veterans Administration $4,188 125%
Imperial Health Plan Of Ca $4,208 126%
Lasalle Medical Assoc (Ancillary) Commercial $4,208 126%
Point Comfort Underwriters $4,208 126%
Self Pay/Ab774/Charity Discount $4,208 126%
Align Senior Care $4,690 140%
Welbehealth Sr/Pace $4,690 140%
Prime Health Services Senior $4,816 144%
Coventry $5,037 - $5,233 151%
Prime Health Services Wcomp $5,037 151%
Choice Physicians Network $5,200 156%
Iehp Covered Ca $5,235 157%
Three Rivers Wcomp $5,485 164%
Workers Comp Non-Contracted $5,597 167%
Prospect Health Plan Comm Hmo $5,653 169%
Hpn Commercial/Covered Ca $5,863 175%
Health Net Comm $6,282 188%
Three Rivers Network $7,365 220%
Velocity $7,365 220%
Blue Shield Epn $11,767 352%
Blue Shield Commercial $13,861 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals