CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Saint Mary's Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $277
  • Cash Discount Price: $1,830
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Saint Mary's Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,830. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.08x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$1,830

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $1,830 (55%)
Insurance Median: $277 (8%)
Cash: $1,830 (55% of Medicare)
Ins. Median: $277 (8% 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
Fallon Health $54 - $855 2%
Mass General Brigham Health Plan $67 - $918 2%
Blue Cross Blue Shield $71 - $11,634 2%
Claimdoc $77 - $8,237 2%
Innovative Health Plan II $77 - $8,237 2%
Medicaid / KanCare $77 - $1,220 2%
Unicare $77 - $11,634 2%
Wellpoint $77 - $11,634 2%
Health New England $78 - $603 2%
Bcn Domestic $91 - $11,634 3%
Blue Benefit Administrators of Massachusetts $91 - $11,634 3%
Blue Care Network $91 - $11,634 3%
Blue Distinction Transplant $91 - $11,634 3%
Blue Shield - Ca $91 - $11,634 3%
Blue Shield - Id (Regence) $91 - $11,634 3%
Blue Shield - Ny Highmark Northeastern $91 - $11,634 3%
Blue Shield - Ny Highmark Western $91 - $11,634 3%
Blue Shield - PA (Highmark) $91 - $11,634 3%
Blue Shield - Wa (Regence) $91 - $11,634 3%
Health Choices $91 - $11,634 3%
Kaiser Domestic $91 - $11,634 3%
Pre-Employment $91 - $11,634 3%
Wc Domestic $91 - $11,634 3%
Healthscope $92 - $865 3%
Connecticare $93 - $10,429 3%
Tufts Health Plan $95 - $892 3%
UnitedHealthcare $98 - $3,844 3%
Harvard Pilgrim Healthcare $99 - $929 3%
Centivo $101 - $7,845 3%
Multiplan $103 - $965 3%
Prime Health Services $105 - $988 3%
Aetna $110 - $3,844 3%
Coventry $110 - $1,036 3%
First Health $110 - $1,036 3%
Guardian $110 - $1,036 3%
Meritain $110 - $1,036 3%
Health Smart $166 - $2,074 5%
Wc Corvel $166 - $2,074 5%
Albany County Correctional Facility $186 - $280 6%
Ambetter / Centene $186 - $280 6%
Amish Mennonite $186 - $280 6%
Ascension St. Vincent Public Safety Medical $186 - $280 6%
Bcccp-Michigan $186 - $280 6%
Bccp $186 - $280 6%
Bmc Healthnet $186 - $280 6%
Breast Grant-Connecticut $186 - $280 6%
Broward County Dept of Health $186 - $280 6%
California Health and Wellness $186 - $280 6%
Can Community Health Inc $186 - $280 6%
Cardinal Innovations Lme $186 - $280 6%
Care Connections of Northern Iowa $186 - $280 6%
Care Oregon Ohp $186 - $280 6%
Cencal Health Plan $186 - $280 6%
Cenpatico $186 - $280 6%
Chhuny $186 - $280 6%
Childrens Comm Health Plan $186 - $280 6%
Childrens Medical Services Title 19 $186 - $280 6%
Cigna $186 - $3,959 6%
City of Philadelphia $186 - $280 6%
Cmh Allegan County $186 - $280 6%
Cmh Ausable Valley $186 - $280 6%
Cmh Barry County $186 - $280 6%
Cmh Bay-Arenac County $186 - $280 6%
Cmh Berrien County $186 - $280 6%
Cmh Cass County $186 - $280 6%
Cmh Central Mi County $186 - $280 6%
Cmh Clinton-Eaton-Ingham County $186 - $280 6%
Cmh Detroit Wayne Integrated Health Network $186 - $280 6%
Cmh Genesee County $186 - $280 6%
Cmh Ionia County $186 - $280 6%
Cmh Jackson County/Lifeways $186 - $280 6%
Cmh Kalamazoo $186 - $280 6%
Cmh Kent County $186 - $280 6%
Cmh Lenawee County $186 - $280 6%
Cmh Livingston County $186 - $280 6%
Cmh Macomb $186 - $280 6%
Cmh Misc $186 - $280 6%
Cmh Monroe County $186 - $280 6%
Cmh Montcalm County $186 - $280 6%
Cmh Muskegon County $186 - $280 6%
Cmh Newaygo County $186 - $280 6%
Cmh North Country $186 - $280 6%
Cmh Northern Lakes County $186 - $280 6%
Cmh Oakland County $186 - $280 6%
Cmh Ottawa County $186 - $280 6%
Cmh Van Buren County $186 - $280 6%
Cmh Washtenaw County $186 - $280 6%
Cmh Wayne County/Carelink $186 - $280 6%
Cmh Wayne Cty/Com Liv Svcs $186 - $280 6%
Cmh West Mi County $186 - $280 6%
Community Benefit Health $186 - $280 6%
Community Care Behavorial Health $186 - $280 6%
Community Care Partners $186 - $280 6%
Community Health Choice $186 - $280 6%
Connections Csp $186 - $280 6%
County Coroner $186 - $280 6%
County Funding Generic $186 - $280 6%
Covid19 Hrsa Uninsured Testing and Treatment Fund $186 - $280 6%
Dean Wi Badgercare $186 - $280 6%
Delaware County Department of Health $186 - $280 6%
Delaware First Health $186 - $280 6%
Dph Tb Program $186 - $280 6%
Dscc $186 - $280 6%
Eastpointe Lme $186 - $280 6%
Family Health Network $186 - $280 6%
Freedom First Healthcare $186 - $280 6%
Fresno County Ccs $186 - $280 6%
Ghc Scw Wi Badgercare $186 - $280 6%
Harbor Health $186 - $280 6%
Health Safety Net $186 - $280 6%
Healthy Blue Ne $186 - $280 6%
Hennepin Health $186 - $280 6%
Humana $186 - $415 6%
Id County Ada $186 - $280 6%
Id County Canyon $186 - $280 6%
Id County Cat Fund $186 - $280 6%
Id County Other $186 - $280 6%
Id County Payette $186 - $280 6%
Idaho Dept Health and Wellfare $186 - $280 6%
Idaho Womens Health Check $186 - $280 6%
Indiana Breast Cervical Cancer $186 - $280 6%
Inland Empire Health Plan $186 - $280 6%
Intercommunity Health Ohp $186 - $280 6%
Iowa Total Care $186 - $280 6%
Jai Medical System $186 - $280 6%
Kern Family Health Plan $186 - $280 6%
Keystone First $186 - $280 6%
Keystone First Chip $186 - $280 6%
La Care Health Plan $186 - $280 6%
Lakeland Care Inc $186 - $280 6%
Managed Health Services - Indiana $186 - $280 6%
Maryland Breast & Cervical Program $186 - $280 6%
Maryland Healthy Smiles - Scion Dental $186 - $280 6%
Maryland Physicians Care $186 - $280 6%
Massachusetts Behavioral Health Partnership $186 - $280 6%
Mdwise $186 - $280 6%
Medi-Cal $186 - $280 6%
Medi-Cal Healthnet $186 - $280 6%
Medstar Dc Healthy Family $186 - $280 6%
Medstar Md Health Choice $186 - $280 6%
Mo Home State Health Plan $186 - $280 6%
Molina Centennial Care $186 - $280 6%
Nascentia Health Options $186 - $280 6%
Nebraska Total Care $186 - $280 6%
New York Cancer Services Program $186 - $280 6%
Nextlevel Health $186 - $280 6%
Oregon Screenwise $186 - $280 6%
Pace of Southwest Michigan $186 - $403 6%
Paramount Advantage $186 - $280 6%
Parkland Community Health Plan $186 - $280 6%
Partners Behavioral Lme $186 - $280 6%
Peach State Healthplan $186 - $280 6%
Philadelphia County Funding $186 - $280 6%
Presbyterian Centennial Care $186 - $280 6%
Prestige Health Choice $186 - $280 6%
Priority Partners $186 - $280 6%
Robert F Sing Program $186 - $280 6%
Rx 340B Pass Along $186 - $280 6%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $186 - $280 6%
Rx Medi-Cal $186 - $280 6%
Rx Meridian Rx $186 - $280 6%
Ryan White Florida Mssrp $186 - $280 6%
Sandhills Center Lme $186 - $280 6%
Screening for Life $186 - $280 6%
St Joseph County Hlth Dpt $186 - $280 6%
Stephenson Cty Health $186 - $280 6%
Sunshine State Health Plan $186 - $280 6%
Superior Health $186 - $280 6%
Tenncare $186 - $280 6%
Texas Children's Health Plan $186 - $280 6%
Trillium Community Ohp $186 - $280 6%
Tufts Health Public Plans $186 - $280 6%
Vaya Health Lme $186 - $280 6%
Washtenaw Health Plan $186 - $280 6%
Wellsense Health Plan $186 - $280 6%
Wi Womens Wellness $186 - $280 6%
Andrie Inc $189 - $1,774 6%
East Greenbush Central School District $189 - $1,774 6%
Genex Wc $189 - $1,774 6%
Healthsmart Workers Comp $189 - $1,774 6%
Jag Source $189 - $1,774 6%
New York State Insurance Fund $189 - $1,774 6%
Njm Insurance Group $189 - $1,774 6%
Rx Heatlhcomp $189 - $1,774 6%
Rx Restat $189 - $1,774 6%
Rx Saif Opdp Wc $189 - $1,774 6%
Rx Worker's Comp $189 - $1,774 6%
Wc Accident Fund $189 - $1,774 6%
Wc Ace $189 - $1,774 6%
Wc Acs Federal Employees $189 - $1,774 6%
Wc Acuity $189 - $1,774 6%
Wc Advantage $189 - $1,774 6%
Wc Aegis $189 - $1,774 6%
Wc Aig $189 - $1,774 6%
Wc Aims $189 - $1,774 6%
Wc Alaska National Ins $189 - $1,774 6%
Wc Align Network $189 - $1,774 6%
Wc Allied $189 - $1,774 6%
Wc Am Trust N America $189 - $1,774 6%
Wc American Claims Mgmt $189 - $1,774 6%
Wc Amerisure $189 - $1,774 6%
Wc Amtrust $189 - $1,774 6%
Wc Asu Risk Mgt $189 - $1,774 6%
Wc Benetech $189 - $1,774 6%
Wc Berkley Admin $189 - $1,774 6%
Wc Broadspire $189 - $1,774 6%
Wc Broward County $189 - $1,774 6%
Wc Bunch & Associates $189 - $1,774 6%
Wc California State Comp Ins $189 - $1,774 6%
Wc California State Ins Fund $189 - $1,774 6%
Wc Capitol Area Health Consortium $189 - $1,774 6%
Wc Ccmsi $189 - $1,774 6%
Wc Chartis $189 - $1,774 6%
Wc Chubb $189 - $1,774 6%
Wc Cirma $189 - $1,774 6%
Wc City of Albany $189 - $1,774 6%
Wc City of Sioux City $189 - $1,774 6%
Wc Claims Mgmt Inc $189 - $1,774 6%
Wc Cna $189 - $1,774 6%
Wc Comp One Admin C/O Manageability $189 - $1,774 6%
Wc Compone Admin $189 - $1,774 6%
Wc Ct Healthcare Trust $189 - $1,774 6%
Wc Donegal Insurance Group $189 - $1,774 6%
Wc Emc Insurance Company $189 - $1,774 6%
Wc Employee Mutual $189 - $1,774 6%
Wc Enablecomp $189 - $1,774 6%
Wc Encore Health Network $189 - $1,774 6%
Wc Erie $189 - $1,774 6%
Wc Esis $189 - $1,774 6%
Wc Evolutions $189 - $1,774 6%
Wc Fcci $189 - $1,774 6%
Wc Fed Ex $189 - $1,774 6%
Wc Federal Black Lung $189 - $1,774 6%
Wc Federated $189 - $1,774 6%
Wc Finley Occupational Health $189 - $1,774 6%
Wc First Agency/Occunet $189 - $1,774 6%
Wc Ford Motor $189 - $1,774 6%
Wc Fresno Unified Emp $189 - $1,774 6%
Wc Gallagher Bassett $189 - $1,774 6%
Wc General Motors $189 - $1,774 6%
Wc Generic $189 - $1,774 6%
Wc Genex Care for Ohio $189 - $1,774 6%
Wc Great West Casualty $189 - $1,774 6%
Wc Guarantee Insurance $189 - $1,774 6%
Wc Guard Insurance Company $189 - $1,774 6%
Wc Hab $189 - $1,774 6%
Wc Hartford $189 - $1,774 6%
Wc Hastings $189 - $1,774 6%
Wc Health Management $189 - $1,774 6%
Wc Heritage Summit $189 - $1,774 6%
Wc Hireright $189 - $1,774 6%
Wc Horizon $189 - $1,774 6%
Wc Icw Group $189 - $1,774 6%
Wc Idaho State Ins Fund $189 - $1,774 6%
Wc Intercare Insurance $189 - $1,774 6%
Wc Intermountain $189 - $1,774 6%
Wc Johns Eastern $189 - $1,774 6%
Wc Kemberton $189 - $1,774 6%
Wc Key Ins & Benefit Solutions $189 - $1,774 6%
Wc Liberty Mutual $189 - $1,774 6%
Wc Mac Risk Management $189 - $1,774 6%
Wc Massachusetts $189 - $1,774 6%
Wc Mdia $189 - $1,774 6%
Wc Meadowbrook Claim $189 - $1,774 6%
Wc Medical Administrators $189 - $1,774 6%
Wc Meijers $189 - $1,774 6%
Wc Memic $189 - $1,774 6%
Wc Mercy Workcare $189 - $1,774 6%
Wc Michigan $189 - $1,774 6%
Wc Michigan Millers Mutual $189 - $1,774 6%
Wc Mitchell Frankenmuth $189 - $1,774 6%
Wc Mra $189 - $1,774 6%
Wc Nationwide $189 - $1,774 6%
Wc Nca Comp $189 - $1,774 6%
Wc New York $189 - $1,774 6%
Wc New York Special Funds $189 - $1,774 6%
Wc North American Rishces $189 - $1,774 6%
Wc Northeast Health $189 - $1,774 6%
Wc Notre Dame $189 - $1,774 6%
Wc Novanet $189 - $1,774 6%
Wc O'Hara Corp $189 - $1,774 6%
Wc Occ Health Allen $189 - $1,774 6%
Wc Ohio Bureau $189 - $1,774 6%
Wc One Call Medical $189 - $1,774 6%
Wc Paradigm $189 - $1,774 6%
Wc Peerless $189 - $1,774 6%
Wc Pma $189 - $1,774 6%
Wc Praxis Health Network $189 - $1,774 6%
Wc Price Chopper $189 - $1,774 6%
Wc Procura Management $189 - $1,774 6%
Wc Qualcare $189 - $1,774 6%
Wc Quiktrip $189 - $1,774 6%
Wc Reny Company $189 - $1,774 6%
Wc Rev Claims $189 - $1,774 6%
Wc Risico $189 - $1,774 6%
Wc Rural Mutual $189 - $1,774 6%
Wc Saif Oregon $189 - $1,774 6%
Wc Secura $189 - $1,774 6%
Wc Sedgwick $189 - $1,774 6%
Wc Sentry $189 - $1,774 6%
Wc Sheakley Unicomp $189 - $1,774 6%
Wc Smile Lodge $189 - $1,774 6%
Wc Society $189 - $1,774 6%
Wc Srs $189 - $1,774 6%
Wc Taconic (Mro) $189 - $1,774 6%
Wc Taconic Farms $189 - $1,774 6%
Wc Travelers $189 - $1,774 6%
Wc Triad Group $189 - $1,774 6%
Wc Tristar $189 - $1,774 6%
Wc Troy Ny $189 - $1,774 6%
Wc Tyson $189 - $1,774 6%
Wc Unified Health Services $189 - $1,774 6%
Wc United Heartland $189 - $1,774 6%
Wc Us Dept of Labor $189 - $1,774 6%
Wc Velocity $189 - $1,774 6%
Wc Walmart $189 - $1,774 6%
Wc West Bend $189 - $1,774 6%
Wc West Bend Mutual/Argent $189 - $1,774 6%
Wc Winnebago Industries $189 - $1,774 6%
Wc Yankee Trails $189 - $1,774 6%
Wc York Risk $189 - $1,774 6%
Wc Zenith $189 - $1,774 6%
Wc Zurich $189 - $1,774 6%
Delta Dental Ga $195 - $2,440 6%
Delta Dental Mi $195 - $2,440 6%
Delta Dental Mo $195 - $2,440 6%
Delta Dental Nj $195 - $2,440 6%
Delta Dental Ny $195 - $2,440 6%
Delta Dental Oh $195 - $2,440 6%
Delta Dental Or $195 - $2,440 6%
Delta Dental PA $195 - $2,440 6%
Delta Dental VA $195 - $2,440 6%
Delta Dental Wa $195 - $2,440 6%
Liberty Dental $195 - $2,440 6%
Align Senior Care $269 - $403 8%
Ally Align Care Adv $269 - $403 8%
American Health Advantage of Idaho $269 - $403 8%
American Health Plan $269 - $403 8%
Aurora Special Needs $269 - $403 8%
Blue Care Network Advantage $269 - $403 8%
Blue Shield - De (Highmark) Medciare Advantage $269 - $403 8%
Care Dimensions $269 - $403 8%
Care Improvement Plus $269 - $403 8%
Care Resources Pace $269 - $403 8%
Careplus Health Plans $269 - $403 8%
Cca - Zing Health $269 - $403 8%
Central Valley Medical Services Corp Pace $269 - $403 8%
Champion Health Plan McR Advantage $269 - $403 8%
Clear Spring Health $269 - $403 8%
Clover Health $269 - $403 8%
Commonwealth Care Alliance $269 - $428 8%
Community Pace at Home $269 - $403 8%
Eddy Senior Care-Pace $269 - $403 8%
Eddy Seniorcare Pace $269 - $403 8%
Elementcare $269 - $403 8%
Evercare $269 - $403 8%
Everence $269 - $403 8%
Gateway Health Plan $269 - $403 8%
Genesys Pace of Genesee County $269 - $403 8%
Georgia Health Advantage $269 - $403 8%
Gold Advantage $269 - $403 8%
Gpa Croell Redi Mix $269 - $403 8%
Health America Advantra $269 - $403 8%
Highmark Health Options Dual Plan $269 - $403 8%
Hope Select Pace $269 - $403 8%
Horizon Nj Total Care $269 - $403 8%
Hudson Headwaters Pace $269 - $403 8%
Huron Valley Pace $269 - $403 8%
Innovative Integrated Health Community Plans $269 - $403 8%
Iowa Health Advantage $269 - $403 8%
Johns Hopkins Advantage Md $269 - $403 8%
Lasso Healthcare Msa $269 - $403 8%
Life St Marys Pace $269 - $403 8%
Lifecircles Pace $269 - $403 8%
Longevity Health Plan $269 - $403 8%
Longevity IPA of Michigan LLC Health Plan Isnp $269 - $403 8%
Martins Point Generations Advantage $269 - $403 8%
Mass General Brigham McR Adv $269 - $403 8%
Medicare (plans) $269 - $4,001 8%
Medipak Advantage $269 - $403 8%
Mercy Life $269 - $403 8%
Mercyone Cedar Valley $269 - $403 8%
Meridian Complete $269 - $403 8%
Michigan Complete Health $269 - $403 8%
Nascentia Health Plus $269 - $403 8%
New Centry Health Careplus $269 - $403 8%
Osu Prime Care Advantage $269 - $403 8%
Pace Cny $269 - $403 8%
Pace Iowa Immanuel Pathways $269 - $403 8%
Pace Southeast $269 - $403 8%
Pace-Trinity Health $269 - $403 8%
Peak Pace Solutions $269 - $403 8%
Perennial Advantage $269 - $403 8%
Preferred Care Partners $269 - $403 8%
Presbyterian Senior Plan $269 - $403 8%
Provider Partners Health Plan of Illinois $269 - $403 8%
Provider Partners Health Plan of Indiana $269 - $403 8%
Pruitthealth Premier $269 - $403 8%
Reliance Community Care Partners Care Resources Pace $269 - $403 8%
Rx Allwin $269 - $403 8%
Rx Grane Grnmedd $269 - $403 8%
Rx Retiree Rx Care $269 - $403 8%
Scan Health Plan McR IPA Meritage Oon $269 - $403 8%
Secure Horizons Ma Pffs $269 - $403 8%
Serenity Pace $269 - $403 8%
Siouxland Pace $269 - $403 8%
Solis Health Plans $269 - $403 8%
Sunnyview-Pace Finance Dept $269 - $403 8%
Texan Plus $269 - $403 8%
The Health Plan $269 - $403 8%
Thome Pace $269 - $403 8%
Todays Options $269 - $403 8%
Tribute Health Plans $269 - $403 8%
Um Health Advantage $269 - $403 8%
Union Health Service $269 - $403 8%
Welbe Health $269 - $403 8%
Wellmed $269 - $403 8%
Veterans Administration $274 - $412 8%
Champva $277 - $415 8%
Tricare $277 - $415 8%
Triwest Health Alliance $277 - $415 8%
Veterans Eval Services $277 - $415 8%
Cca Senior Care Options $279 - $3,921 8%
Us Family Health Plan $288 - $433 9%
Connecticut Dept of Correction $3,623 108%
Diversified Administrators $8,237 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals