CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Boundary Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,308
Cash Discount Price: $812
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Boundary Community Hospital is $1,308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $812. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.39x the Medicare baseline. Located in 6640 Kaniksu Street, Bonners Ferry, ID.

Cash / Self-Pay

$812

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,308

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: $812 (24%)

Insurance Median: $1,308 (39%)

Cash: $812 (24% of Medicare)

Ins. Median: $1,308 (39% 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
Pacificsource Comm - All Other Plans	$216 - $5,810	6%
Molina Mcaid	$423 - $3,594	13%
Molina Comm/Mrketplce - All Other Plans	$472 - $3,343	14%
Molina Mcr Adv	$472 - $3,294	14%
UnitedHealthcare	$472 - $5,092	14%
Cigna	$748 - $5,690	22%
Bc Idaho Comm - All Other Plans	$872 - $5,870	26%
Bc Idaho Qhp	$882 - $5,631	26%
Regence Blue Shield - All Plans	$1,050 - $5,750	31%
Aetna	$1,308 - $3,894	39%

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 $812.
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 Boundary Community Hospital 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.