CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$829

about 0.2× the $3,343 Medicare rate · typically $778–$3,115

modeled estimate · not a bill or quote

What this hospital charges insurers

$789

About the fair price

about $40 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $829 This hospital $789 Cash price $1,965 Hospital's list price $3,023

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $749 Priciest $1,656

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $829 (about 0.2× the $3,343 Medicare rate). Cleveland Clinic Indian River Hospital charges insurers about $789, or about $1,965 in cash — about the fair price. Located in Vero Beach, FL.

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✓ Humana Kaiser Permanente

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	$404 - $3,257	12%
Blue Cross Blue Shieldmajor	$514 - $5,557	15%
Aetnamajor	$636 - $3,257	19%
Cignamajor	$751 - $963	22%
Humanamajor	$3,257	97%
AmeriHealth	$425	13%
AvMed	$572 - $7,458	17%
Devoted Health	$3,583	107%
Molina	$425	13%
WellCare	$425 - $3,257	13%
WellMed	$601 - $3,257	18%
+ 11 smaller / regional plans	$425 - $3,420

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 1,965), 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 Cleveland Clinic Indian River Hospital 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 Cleveland Clinic Indian River Hospital

Compare: Knee arthroscopy with meniscus repair at other FL hospitals

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