CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Vallejo

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,268

about 0.7× the $3,343 Medicare rate · typically $744–$3,725

modeled estimate · not a bill or quote

Medicare pays $3,343 Fair price $2,268 Cash price $45 Hospital's list price $299

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$684	20%
Blue Cross Blue Shieldmajor	$546 - $1,436	16%
Aetnamajor	$944	28%
Cignamajor	$666	20%
Kaiser Permanentemajor	$656	20%
+ 4 smaller / regional plans	$216 - $1,590

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 45), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Vallejo is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Vallejo

Compare: Knee arthroscopy with meniscus repair at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.