CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Presence St Marys Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,545

about 1.1× the $3,343 Medicare rate · typically $3,448–$4,017

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,489

About the fair price

about $56 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,545 This hospital $3,489 Cash price $3,489 Hospital's list price $17,852

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $520 Priciest $3,489

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $3,545 (about 1.1× the $3,343 Medicare rate). Presence St Marys Hospital charges insurers about $3,489, or about $3,489 in cash — about the fair price. Located in Kankakee, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$3,489 - $7,715	104%
Blue Cross Blue Shieldmajor	$1,855 - $4,885	55%
Aetnamajor	$1,855 - $8,468	55%
Cignamajor	$690 - $4,550	21%
Humanamajor	$1,855 - $3,838	55%
Ambetter (Centene)	$5,652	169%
Devoted Health	$3,489	104%
Health Net	$4,187	125%
HealthLink	$7,000 - $8,468	209%
HealthPartners	$3,489 - $4,013	104%
Meridian	$1,948 - $3,664	58%
Molina	$1,948 - $5,234	58%
WellCare	$3,489	104%
+ 10 smaller / regional plans	$521 - $5,408

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

Excludes 2 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 3,489), 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 Presence St Marys 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 Presence St Marys Hospital

Compare: Knee arthroscopy with meniscus repair at other IL hospitals

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