CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Northside Hospital Duluth

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,156
about 1.2× the $3,343 Medicare rate · typically $1,571–$4,987
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,537
Above the fair price
about $1,381 over the fair price · 1.7× Medicare
Medicare pays $3,343 Fair price $4,156 This hospital $5,537

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 $5,537

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 $4,156 (about 1.2× the $3,343 Medicare rate). Northside Hospital Duluth charges insurers about $5,537 — above the fair price. Located in Duluth, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,156. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $3,229 - $8,836 97%
Blue Cross Blue Shieldmajor $3,229 - $34,850 97%
Aetnamajor $3,262 - $30,000 98%
Cignamajor $7,594 - $13,531 227%
Humanamajor $3,262 - $3,359 98%
Kaiser Permanentemajor $3,326 - $4,895 99%
Ambetter (Centene) $3,041 - $10,726 91%
Amerigroup $6,316 - $8,978 189%
CareSource $3,326 - $18,600 99%
Clover Health $3,390 101%
Health Net $8,102 242%
Oscar Health $7,706 231%
WellCare $3,326 99%
+ 19 smaller / regional plans $870 - $50,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals