CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: McKenzie Health System

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,021

about 0.3× the $3,343 Medicare rate · typically $536–$2,573

modeled estimate · not a bill or quote

What this hospital charges insurers

$780

Below the fair price — a good deal

about $241 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $1,021 This hospital $780 Cash price $965 Hospital's list price $1,206

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $492 Priciest $780

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

A fair price for a Knee arthroscopy with meniscus repair is about $1,021 (about 0.3× the $3,343 Medicare rate). McKenzie Health System charges insurers about $780, or about $965 in cash — below the fair price — a good deal. Located in Sandusky, MI.

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	$699	21%
Blue Cross Blue Shieldmajor	$965	29%
Aetnamajor	$719	22%
Priority Health	$2,358	71%
+ 2 smaller / regional plans	$563 - $840

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 (about 965), 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 McKenzie Health System 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 McKenzie Health System

Compare: Knee arthroscopy with meniscus repair at other MI hospitals

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