CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,359

about 1.0× the $3,343 Medicare rate · typically $2,033–$4,128

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,233

About the fair price

about $126 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,359 This hospital $3,233 Cash price $5,562 Hospital's list price $5,562

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $479 Priciest $3,233

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 $3,359 (about 1.0× the $3,343 Medicare rate). Idaho Falls Community Hospital, LLC charges insurers about $3,233, or about $5,562 in cash — about the fair price. Located in Idaho Falls, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$3,233	97%
Blue Cross Blue Shieldmajor	$3,233 - $3,946	97%
Aetnamajor	$3,233	97%
Humanamajor	$3,233	97%
Moda Health	$7,273	218%
Molina	$3,233	97%
PacificSource	$3,233	97%
SelectHealth	$3,233	97%
+ 3 smaller / regional plans	$3,233 - $8,890

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 5,562), 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 Idaho Falls Community Hospital, LLC 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 Idaho Falls Community Hospital, LLC

Compare: Knee arthroscopy with meniscus repair at other ID hospitals

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