CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Kootenai Health

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$882

about 0.3× the $3,343 Medicare rate · typically $790–$2,267

modeled estimate · not a bill or quote

What this hospital charges insurers

$803

About the fair price

about $79 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $882 This hospital $803

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $479 Priciest $3,159

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

A fair price for a Knee arthroscopy with meniscus repair is about $882 (about 0.3× the $3,343 Medicare rate). Kootenai Health charges insurers about $803 — about the fair price. Located in Coeur D'Alene, ID.

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✓ Humana✓ Kaiser Permanente Cigna

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	$472 - $3,382	14%
Blue Cross Blue Shieldmajor	$423 - $8,585	13%
Aetnamajor	$495 - $3,551	15%
Humanamajor	$472 - $3,382	14%
Kaiser Permanentemajor	$723 - $12,174	22%
Molina	$317 - $3,483	9%
PacificSource	$477 - $3,416	14%
+ 2 smaller / regional plans	$317 - $461

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 Kootenai Health 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 Kootenai Health

Compare: Knee arthroscopy with meniscus repair at other ID hospitals

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