CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Nell J Redfield Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $486
Cash Discount Price: $3,652
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Nell J Redfield Memorial Hospital is $486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,652. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$3,652

Average discount available for prompt cash payment at this facility.

Insurance Median

$486

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: $3,652 (109%)

Insurance Median: $486 (15%)

Cash: $3,652 (109% of Medicare)

Ins. Median: $486 (15% 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
Aetna	$472 - $1,090	14%
Bc Mcr Adv	$472	14%
Choicecare Mcr Adv	$472	14%
Regence Bs Mcr	$472	14%
UnitedHealthcare	$472	14%
Pacificsource Mcr Adv - All Plans	$486	15%
Brightpath Select Hlth - All Plans	$948	28%
Regence Bs Comm - All Other Plans	$1,084	32%
Choicecare Ppo - All Other Plans	$1,085	32%
University Of Ut - All Plans	$1,123	34%
Town & Country - All Plans	$2,792	84%

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 $3,652.
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 Nell J Redfield Memorial 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.