CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: M Health Fairview Southdale Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,805
Cash Discount Price: $698
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at M Health Fairview Southdale Hospital is $1,805. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $698. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.54x the Medicare baseline. Located in 6401 France Avenue South, Edina, MN.

Cash / Self-Pay

$698

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,805

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: $698 (21%)

Insurance Median: $1,805 (54%)

Cash: $698 (21% of Medicare)

Ins. Median: $1,805 (54% 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
Health Partners	$373 - $7,302	11%
Itasca Medical Care	$373 - $3,230	11%
Primewest	$373 - $3,230	11%
South Country Health Alliance	$373 - $3,230	11%
Ucare	$380 - $7,422	11%
Medica	$397 - $4,192	12%
Hennepin Health	$422 - $3,268	13%
Blue Cross Blue Shield	$424 - $5,494	13%
Sanford Health Plan	$505 - $3,230	15%
Security Health Plan	$505 - $3,230	15%
UnitedHealthcare	$505 - $5,287	15%
Wellcare	$505 - $3,230	15%
America'S Ppo	$1,654 - $1,719	49%
First Health	$1,784	53%
Multiplan	$1,850	55%
Private Healthcare Systems	$1,850	55%
Wisconsin Physician Services	$1,958	59%

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 $698.
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 M Health Fairview Southdale 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.