CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $10,290
  • Cash Discount Price: $10,346
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Hazel Hawkins Memorial Hospital is $10,290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,346. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 3.08x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
$10,346

Average discount available for prompt cash payment at this facility.

Insurance Median
$10,290

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: $10,346 (309%)
Insurance Median: $10,290 (308%)
Cash: $10,346 (309% of Medicare)
Ins. Median: $10,290 (308% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 308% of the Medicare baseline (a markup of 208%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Triwest - All Plans $299 9%
Tricare $309 9%
Blue Cross Blue Shield $315 - $12,106 9%
Blue Shield Mcare $315 9%
Caremore Med Adv - All Plans $315 9%
Kaiser Med Adv $315 9%
Central Hp Med Adv $331 10%
Kaiser Mcal $551 16%
Medi-Cal $551 16%
Valley Hp Mcal $551 16%
Ccah Mcal - All Plans $882 26%
UnitedHealthcare $3,147 - $9,079 94%
Valley Hp Covered Ca $6,355 190%
Valley Hp Preferred $6,355 190%
Kaiser Comm - All Other Plans $7,142 214%
Blue Shield Of Ca - All Other Plans $7,336 219%
Valley Hp Classic - All Other Plans $7,626 228%
Beech Street Corp Ppo - All Plans $10,290 308%
Cigna $10,290 308%
Corvel Ppo - All Plans $10,290 308%
First Health Ppo - All Plans $10,290 308%
Great West Ppo - All Plans $10,290 308%
Nx Health Network - All Plans $10,290 308%
Pacific Hlth Alliance - All Plans $10,500 314%
Interplan Ppo - All Plans $10,653 319%
Bce Emergis/Multi Ppo - All Plans $10,895 326%
Healthnet Hmo $10,895 326%
Healthnet Ppo - All Other Plans $10,895 326%
Metracomp Wc Ppo - All Plans $10,895 326%
One Hp Ppo - All Plans $10,895 326%
Admar Ppo - All Plans $11,016 330%
Ccn Ppo - All Other Plans $11,500 344%
Choicecare Ppo/Hmo - All Plans $11,500 344%
Coastal Hlthcre Ppo/Hmo - All Plans $11,500 344%
Ccn (W/C) $12,106 362%
Central Coast Ppo - All Other Plans $12,106 362%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals