CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mainehealth Pen Bay Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,820

about 0.5× the $3,343 Medicare rate · typically $970–$2,367

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,060

Below the fair price — a good deal

about $760 under the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $1,820 This hospital $1,060

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $545 Priciest $1,060

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

A fair price for a Knee arthroscopy with meniscus repair is about $1,820 (about 0.5× the $3,343 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $1,060 — below the fair price — a good deal. Located in Rockport, ME.

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	$605 - $3,140	18%
Blue Cross Blue Shieldmajor	$531 - $15,249	16%
Aetnamajor	$522 - $3,203	16%
Humanamajor	$605 - $3,140	18%
Harvard Pilgrim	$1,060	32%
WellCare	$542 - $3,234	16%
+ 1 smaller / regional plan	$1,128

Excludes 1 rental-network / third-party entry (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, 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 Mainehealth Pen Bay 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 Mainehealth Pen Bay Hospital

Compare: Knee arthroscopy with meniscus repair at other ME hospitals

Millinocket Regional Hospital · Millinocket $545
Penobscot Valley Hospital · Lincoln $673
York Hospital · York $717
Lincolnhealth · Damariscotta $968
Mainehealth Stephens Hospital · Norway $968
Mainehealth Franklin Hospital · Farmington $1,040
Mainehealth Maine Medical Center · Portland $1,060
Mainehealth Mid Coast Hospital · Brunswick $1,060

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