CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Holland Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $845
Cash Discount Price: $643
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Holland Community Hospital is $845. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $643. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.25x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$643

Average discount available for prompt cash payment at this facility.

Insurance Median

$845

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)

Cash / Self-Pay: $643 (19%)

Insurance Median: $845 (25%)

Cash: $643 (19% of Medicare)

Ins. Median: $845 (25% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Nomi Health - All Plans	$84	3%
Life Circles-All Plans	$476	14%
Health Alliance Mcr Adv	$501	15%
Ph Mcr Adv	$501	15%
UnitedHealthcare	$501 - $1,645	15%
Va Ccn - All Plans	$501	15%
Aetna	$516 - $831	15%
Longevity Health Plan-All Plans	$541	16%
First Health-All Plans	$651	19%
Cofinity -All Plans	$831	25%
Cigna	$834	25%
Benefit Source Inc-All Plans	$857	26%
Priority Health - All Other Plans	$886	27%
Blue Care Network - All Plans	$910	27%
Multiplan - All Plans	$964	29%
Blue Cross Blue Shield	$974	29%
Sisco-All Other Plans	$1,054	32%
Asr - All Plans	$1,187	36%
Health Alliance Ahl - All Other Plans	$1,187	36%
Health Alliance Hmo	$1,187	36%
Meridian Mcaid Profee Only-All Plans	$1,645	49%
Molina Mcaid - All Plans	$1,645	49%
Ph Mcaid	$1,645	49%
Sisco Epi	$3,223	96%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $643.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holland Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.