CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Teton Valley Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$675

about 0.2× the $3,343 Medicare rate · typically $253–$1,041

modeled estimate · not a bill or quote

What this hospital charges insurers

$764

About the fair price

about $89 over the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $675 This hospital $764 Cash price $1,249 Hospital's list price $1,561

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 7 of 8 other ID hospitals charge more for the same procedure.

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 $675 (about 0.2× the $3,343 Medicare rate). Teton Valley Hospital charges insurers about $764, or about $1,249 in cash — about the fair price. Located in Driggs, 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✓ Cigna✓ Humana AetnaKaiser 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	$472	14%
Blue Cross Blue Shieldmajor	$423 - $1,873	13%
Cignamajor	$708 - $802	21%
Humanamajor	$472	14%
Moda Health	$826	25%
SelectHealth	$948	28%
+ 3 smaller / regional plans	$590 - $1,248

Government programs also on file: Medicare, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,249), 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 Teton Valley Hospital 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 Teton Valley Hospital

Compare: Knee arthroscopy with meniscus repair at other ID hospitals

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