CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $567
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Henry Ford Health West Bloomfield Hospital is $567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$567

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%)

Insurance Median: $567 (17%)

Ins. Median: $567 (17% 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
Aetna	$304 - $3,497	9%
Blue Cross Blue Shield	$304 - $5,532	9%
Mclaren	$304	9%
Meridian Health Plan Of Mi	$304 - $4,292	9%
Priority Health	$304 - $4,523	9%
Amerihealth Michigan	$354 - $3,115	11%
Hap Caresource	$354 - $3,179	11%
Mclaren Health Plan Inc.	$354 - $567	11%
Meridian	$354 - $567	11%
Molina	$369 - $4,292	11%
Priority	$372 - $567	11%
Humana	$453 - $3,243	14%
Hap	$482 - $3,179	14%
Pace Se Mi	$539	16%
Bcn	$567 - $3,179	17%
Cca Health Mi	$567	17%
Health Alliance Plan Of Michigan	$567	17%
Mount Carmel Health Plan	$567 - $3,179	17%
United Behavioral Health, Inc.	$567	17%
UnitedHealthcare	$567 - $3,179	17%
Wellcare Ma	$567	17%
Vitalcore Physicians Group Of Mi	$738 - $7,312	22%
Cigna	$796	24%
Cofinity	$1,247	37%
Pace Of Se Mi	$3,020	90%
Cca Health Michigan	$3,179	95%
Erickson	$3,179	95%
Mclaren Health	$3,179	95%
Molina Mi Health Link	$3,179	95%
Wellcare	$3,211	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 $X.
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 Henry Ford Health West Bloomfield 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.