CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$5,254

about 1.6× the $3,343 Medicare rate · typically $3,069–$6,550

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,153

About the fair price

about $101 under the fair price · 1.5× Medicare

Medicare pays $3,343 Fair price $5,254 This hospital $5,153 Cash price $11,309 Hospital's list price $11,309

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $667 Priciest $5,153

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

A fair price for a Knee arthroscopy with meniscus repair is about $5,254 (about 1.6× the $3,343 Medicare rate). Saint Joseph's Hospital of Atlanta, Inc charges insurers about $5,153, or about $11,309 in cash — about the fair price. Located in Atlanta, GA.

What each insurance company pays

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

6 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	$6,689 - $7,870	200%
Blue Cross Blue Shieldmajor	$3,357 - $5,843	100%
Aetnamajor	$3,390 - $5,594	101%
Cignamajor	$3,423 - $6,803	102%
Humanamajor	$7,175	215%
Kaiser Permanentemajor	$3,925	117%
Ambetter (Centene)	$7,046	211%
Clover Health	$3,490	104%
Devoted Health	$3,323	99%
Oscar Health	$5,611	168%
WellCare	$3,523	105%

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 11,309), 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 Saint Joseph's Hospital of Atlanta, Inc 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 Saint Joseph's Hospital of Atlanta, Inc

Compare: Knee arthroscopy with meniscus repair at other GA hospitals

Atrium Health Navicent Peach · Byron $667
Shepherd Center, Inc. · Atlanta $801
Grady Memorial Hospital · Atlanta $896
Navicent Health Baldwin · Milledgeville $1,980
Atrium Health Navicent Rehabilitation Hopsital · Macon $2,187
Atrium Health Navicent the Medical Center · Macon $2,201
Morgan Medical Center · Madison $2,344
Tift Regional Medical Center · Tifton $3,017

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