CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Phelps Memorial Health Center

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$676

about 0.2× the $3,343 Medicare rate · typically $503–$1,702

modeled estimate · not a bill or quote

What this hospital charges insurers

$562

Below the fair price — a good deal

about $114 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $676 This hospital $562 Cash price $1,245 Hospital's list price $1,383

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 6 of 8 other NE hospitals charge more for the same procedure.

Cheapest $485 Priciest $894

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

A fair price for a Knee arthroscopy with meniscus repair is about $676 (about 0.2× the $3,343 Medicare rate). Phelps Memorial Health Center charges insurers about $562, or about $1,245 in cash — below the fair price — a good deal. Located in Holdrege, NE.

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	$467 - $2,299	14%
Blue Cross Blue Shieldmajor	$468 - $833	14%
Aetnamajor	$467 - $2,299	14%
Ambetter (Centene)	$866	26%
Medica	$468 - $843	14%
Molina	$467 - $2,299	14%
WellCare	$468	14%
+ 6 smaller / regional plans	$468 - $889

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 (about 1,245), 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 Phelps Memorial Health Center 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 Phelps Memorial Health Center

Compare: Knee arthroscopy with meniscus repair at other NE hospitals

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