CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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
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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 |
|---|---|---|
| Kpc Healthcare Inc | $661 - $5,260 | 20% |
| Healthcare Partners | $790 | 24% |
| Hollywood Presbyterian | $790 - $4,188 | 24% |
| Kaiser | $790 - $4,188 | 24% |
| Medi-Cal Hmo/Non Contract | $790 | 24% |
| Medicaid / KanCare | $790 | 24% |
| Altamed Health Services | $1,106 - $4,188 | 33% |
| Caloptima | $1,106 - $4,208 | 33% |
| Choc Health Alliance | $1,106 | 33% |
| County Of Orange | $1,106 | 33% |
| Family Choice | $1,106 | 33% |
| Heritage Provider Network | $1,106 - $5,815 | 33% |
| Prospect Health Plan | $1,106 - $6,313 | 33% |
| Aetna | $3,305 | 99% |
| Champus | $4,040 | 121% |
| Blue Shield | $4,188 - $15,955 | 125% |
| Central Health Plan Of California | $4,188 | 125% |
| Champion Health Plan | $4,188 | 125% |
| Citizens Choice Health Plan | $4,188 | 125% |
| Clever Care Health Plan | $4,188 | 125% |
| For Your Benefit | $4,188 | 125% |
| Health Net | $4,188 - $7,220 | 125% |
| Healthcare Partners Sr Hmo | $4,188 | 125% |
| Heritage | $4,188 | 125% |
| Humana | $4,188 | 125% |
| Monarch | $4,188 - $5,699 | 125% |
| Onecare | $4,188 | 125% |
| Onecare Connect | $4,188 | 125% |
| Other Senior Non Contract | $4,188 | 125% |
| Scan Health Plan | $4,188 | 125% |
| UnitedHealthcare | $4,188 - $6,232 | 125% |
| Us Federal Marshall/Department Of Immigration | $4,188 | 125% |
| Velocity Provider Network Sr | $4,188 | 125% |
| Verda Health Plan Sr | $4,188 | 125% |
| Veterans Administration | $4,188 | 125% |
| Choice Physicians Network | $4,208 | 126% |
| Easy Choice Health Plan | $4,208 | 126% |
| Imperial Health Plan Of Ca | $4,208 | 126% |
| Innovative Integrated Health | $4,208 | 126% |
| Medcare Partners | $4,208 | 126% |
| Self Pay Ab774/Cbo Use Only | $4,208 | 126% |
| Us Dept Of Labor | $4,208 | 126% |
| Victim Of Violent Crime | $4,208 | 126% |
| Victoria Hospice | $4,208 | 126% |
| Brand New Day | $4,690 | 140% |
| Prime Health Srvs | $4,816 | 144% |
| Coventry Auto Network | $5,037 | 151% |
| Prime Health Srvs/Wc | $5,037 | 151% |
| Interplan | $5,093 | 152% |
| Coventry Wc | $5,233 | 157% |
| County Of Orange/Custody/Advanced Medmgt | $5,235 | 157% |
| Veterans Evaluation Services | $5,260 | 157% |
| Multiplan | $5,485 - $35,000 | 164% |
| Three Rivers | $5,485 | 164% |
| Velocity National Provider Network Wc | $5,597 | 167% |
| Workers Comp State Of California | $5,597 | 167% |
| Staywell/Island Home Ins | $5,892 | 176% |
| Monarch Health Plan | $6,096 | 182% |
| Three Rivers Network | $7,365 | 220% |
| Velocity National Provider Network Ppo | $7,365 | 220% |
| Cigna | $8,806 | 263% |
| Ihhi Reciprocity | $15,000 | 449% |
| Healthsmart | $37,500 | 1122% |