CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Griffin Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $6,343
Cash Discount Price: $3,879
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Griffin Hospital is $6,343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,879. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.90x the Medicare baseline. Located in 130 Division St, Derby, CT.

Cash / Self-Pay

$3,879

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,343

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: $3,879 (116%)

Insurance Median: $6,343 (190%)

Cash: $3,879 (116% of Medicare)

Ins. Median: $6,343 (190% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$3,879 - $6,607	116%
Blue Cross Blue Shield	$3,879 - $9,389	116%
Carepartners of Connecticut	$3,879	116%
Cigna	$3,879 - $5,928	116%
Connecticare	$3,879	116%
UnitedHealthcare	$3,879 - $8,119	116%
Connecticare (Cbi)	$5,008	150%
Connecticare (Cci)	$6,988	209%
Oxford	$8,420	252%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,879.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Griffin Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.