CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Clay County Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$942

about 0.3× the $3,343 Medicare rate · typically $519–$2,504

modeled estimate · not a bill or quote

What this hospital charges insurers

$849

About the fair price

about $93 under the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $942 This hospital $849

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 $849

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 $942 (about 0.3× the $3,343 Medicare rate). Clay County Hospital charges insurers about $849 — about the fair price. Located in Flora, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$646	19%
Blue Cross Blue Shieldmajor	$1,053	31%
Aetnamajor	$521	16%

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, 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 Clay County 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 Clay County Hospital

Compare: Knee arthroscopy with meniscus repair at other IL hospitals

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