CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Hackensack University Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,330
  • Cash Discount Price: $3,821
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Hackensack University Medical Center is $6,330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,821. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.89x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$3,821

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,330

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: $3,821 (114%)
Insurance Median: $6,330 (189%)
Cash: $3,821 (114% of Medicare)
Ins. Median: $6,330 (189% 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.

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
Karna $1,185 35%
Clover $1,381 41%
UnitedHealthcare $1,688 - $15,823 50%
Aetna $1,926 - $7,773 58%
Seoul Medical Group $2,194 66%
Horizon $2,728 - $16,802 82%
Lhp Health $3,548 106%
Blue Cross Blue Shield $3,821 114%
Vaccn $3,821 114%
Wellcare $3,821 114%
United Community/Americhoice $4,012 120%
Intergroup $5,371 161%
Bergen Risk $5,755 172%
Cigna $6,138 - $6,978 184%
Activecare First McO $6,522 195%
Chn $6,522 195%
Multiplan - PHCS $6,522 195%
Qualcare $6,829 - $7,712 204%
Brighton Health Plan $6,906 207%
Amerihealth $8,013 - $8,904 240%
Oxford $13,088 392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals