CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St Lukes Regional Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,886

about 0.6× the $3,343 Medicare rate · typically $1,543–$2,396

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,662

Below the fair price — a good deal

about $224 under the fair price · 0.5× Medicare

Medicare pays $3,343 Fair price $1,886 This hospital $1,662 Cash price $1,994 Hospital's list price $2,493

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $467 Priciest $1,662

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

A fair price for a Knee arthroscopy with meniscus repair is about $1,886 (about 0.6× the $3,343 Medicare rate). St Lukes Regional Medical Center charges insurers about $1,662, or about $1,994 in cash — below the fair price — a good deal. Located in Sioux City, IA.

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	$515 - $8,660	15%
Blue Cross Blue Shieldmajor	$501 - $3,225	15%
Aetnamajor	$491 - $7,932	15%
Cignamajor	$1,305	39%
Humanamajor	$515 - $3,320	15%
Amerigroup	$2,874	86%
HealthPartners	$1,055 - $4,844	32%
Molina	$501 - $3,225	15%
+ 4 smaller / regional plans	$432 - $3,320

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 1,994), 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 St Lukes Regional Medical Center 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 St Lukes Regional Medical Center

Compare: Knee arthroscopy with meniscus repair at other IA hospitals

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