CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Sarah Bush Lincoln Health Center

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,175

about 0.4× the $3,343 Medicare rate · typically $511–$3,352

modeled estimate · not a bill or quote

What this hospital charges insurers

$521

Below the fair price — a good deal

about $654 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $1,175 This hospital $521 Cash price $2,855 Hospital's list price $2,855

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 3 of 8 other IL hospitals charge more for the same procedure.

Cheapest $520 Priciest $544

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Knee arthroscopy with meniscus repair is about $1,175 (about 0.4× the $3,343 Medicare rate). Sarah Bush Lincoln Health Center charges insurers about $521, or about $2,855 in cash — below the fair price — a good deal. Located in Mattoon, 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	$521 - $2,370	16%
Blue Cross Blue Shieldmajor	$553 - $1,221	17%
Aetnamajor	$351 - $2,570	10%
Cignamajor	$2,570	77%
Humanamajor	$521 - $532	16%
HealthLink	$2,455	73%
Meridian	$521	16%
Molina	$351 - $521	10%
WellCare	$521	16%
+ 17 smaller / regional plans	$351 - $2,570

Government programs also on file: Military & VA.

Excludes 6 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 2,855), 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 Sarah Bush Lincoln Health Center 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 Sarah Bush Lincoln Health Center

Compare: Knee arthroscopy with meniscus repair at other IL hospitals

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