CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $2,261
Cash Discount Price: $3,884
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mary Hitchcock Memorial Hospital is $2,261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,884. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.68x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$3,884

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,261

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: $3,884 (116%)

Insurance Median: $2,261 (68%)

Cash: $3,884 (116% of Medicare)

Ins. Median: $2,261 (68% 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
Granite State Health Plan	$370 - $1,598	11%
Blue Cross Blue Shield	$374 - $14,128	11%
Martin'S Point Generations Advantage	$374 - $3,631	11%
Mvp	$374 - $8,504	11%
UnitedHealthcare	$374 - $9,747	11%
Martin'S Point Health Care	$382 - $4,379	11%
Aetna	$386 - $8,910	12%
Cigna	$386 - $9,398	12%
Wellsense Health Plan	$386 - $3,812	12%
Wellcare Health Plans	$389 - $3,776	12%
Ambetter / Centene	$393 - $7,812	12%
Harvard Pilgrim Health Care Of Ne	$401 - $11,360	12%
Amerihealth Caritas Nh	$459 - $1,438	14%
Beacon Health Strategies/Carelon	$459 - $1,550	14%
Mass General Brigham Health Plan	$1,496 - $7,894	45%
Tufts Health Plan	$1,702 - $7,405	51%
Maine Community Health Options	$8,085 - $9,329	242%
Coventry	$11,042	330%
First Health/Hcvm	$11,042	330%
Phcs	$11,423	342%
Corvel	$11,677	349%
Ccmsi	$12,057	361%

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 $3,884.
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 Mary Hitchcock Memorial 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.