CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Ascension St Vincent Fishers

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,174

about 0.4× the $3,343 Medicare rate · typically $772–$5,509

modeled estimate · not a bill or quote

What this hospital charges insurers

$792

Below the fair price — a good deal

about $382 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $1,174 This hospital $792

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $474 Priciest $792

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

A fair price for a Knee arthroscopy with meniscus repair is about $1,174 (about 0.4× the $3,343 Medicare rate). Ascension St Vincent Fishers charges insurers about $792 — below the fair price — a good deal. Located in Fishers, IN.

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✓ Aetna✓ Humana CignaKaiser 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	$162 - $1,487	5%
Blue Cross Blue Shieldmajor	$376 - $1,487	11%
Aetnamajor	$1,487	44%
Humanamajor	$1,487	44%
Ambetter (Centene)	$1,487	44%
CareSource	$1,487	44%
+ 9 smaller / regional plans	$376 - $1,487

Government programs also on file: Medicare, Medicaid.

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 Ascension St Vincent Fishers 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 Ascension St Vincent Fishers

Compare: Knee arthroscopy with meniscus repair at other IN hospitals

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