CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Castle

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,775

about 1.1× the $3,343 Medicare rate · typically $595–$4,015

modeled estimate · not a bill or quote

What this hospital charges insurers

$555

Below the fair price — a good deal

about $3,220 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $3,775 This hospital $555 Cash price $471 Hospital's list price $1,472

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $555 Priciest $3,846

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

A fair price for a Knee arthroscopy with meniscus repair is about $3,775 (about 1.1× the $3,343 Medicare rate). Adventist Health Castle charges insurers about $555, or about $471 in cash — below the fair price — a good deal. Located in Kailua, HI.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$529	16%
Devoted Health	$545	16%
+ 6 smaller / regional plans	$529 - $1,472

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (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 471), 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 Adventist Health Castle 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 Adventist Health Castle

Compare: Knee arthroscopy with meniscus repair at other HI hospitals

Kau Hospital · Pahala $569
Samuel Mahelona Memorial Hospital · Kapaa $569
Shriners Hospital for Children · Honolulu $2,155
Kapiolani Medical Center for Women & Children · Honolulu $3,326
Kohala Hospital · Kapaau $3,334
Kaiser Foundation Hospital · Honolulu $3,491
Kuakini Medical Center · Honolulu $3,846
Straub Clinic and Hospital · Honolulu $3,846

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