CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Navicent Health Baldwin

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,938

about 0.6× the $3,343 Medicare rate · typically $1,227–$3,371

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,980

About the fair price

about $42 over the fair price · 0.6× Medicare

Medicare pays $3,343 Fair price $1,938 This hospital $1,980

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $667 Priciest $3,104

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 $1,938 (about 0.6× the $3,343 Medicare rate). Navicent Health Baldwin charges insurers about $1,980 — about the fair price. Located in Milledgeville, GA.

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	$513 - $7,667	15%
Blue Cross Blue Shieldmajor	$513 - $4,144	15%
Aetnamajor	$513 - $3,193	15%
Cignamajor	$1,655	50%
Humanamajor	$513 - $3,161	15%
Ambetter (Centene)	$692	21%
Clover Health	$523 - $3,225	16%
+ 6 smaller / regional plans	$513 - $4,421

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, 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 Navicent Health Baldwin 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 Navicent Health Baldwin

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
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
CHI Memorial Hospital- Georgia · Ringgold $3,104

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