CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St Luke's Nampa Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $5,759
Cash Discount Price: $7,625
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at St Luke's Nampa Medical Center is $5,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,625. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.72x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$7,625

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,759

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)

Cash / Self-Pay: $7,625 (228%)

Insurance Median: $5,759 (172%)

Cash: $7,625 (228% of Medicare)

Ins. Median: $5,759 (172% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$3,159 - $9,807	94%
Commercial [1028]	$3,159 - $9,807	94%
Mountain Health Co-Op [1067]	$3,159 - $5,442	94%
Pacificsource [1020]	$3,159 - $6,279	94%
Select Health [1063]	$3,159 - $5,442	94%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$3,159 - $5,442	94%
St Lukes Health Plan [1046]	$3,159 - $5,442	94%
UnitedHealthcare	$3,471 - $6,865	104%
Aetna	$5,502 - $7,535	165%
Cigna	$5,502 - $6,698	165%
Providence [1022]	$5,502 - $6,698	165%
Webtpa [1071]	$5,502 - $7,116	165%
Geha [1065]	$5,639 - $6,865	169%
United Medical Resources [1051]	$5,639 - $6,865	169%
First Health [1064]	$5,674 - $7,116	170%
Moda [1055]	$6,052 - $7,367	181%
Blue Shield Alt [100401]	$9,807	293%
Regence Out Of State [1004]	$9,807	293%
Regence [1005]	$9,807	293%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $7,625.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Nampa Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.