CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Trinitas Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,617
Cash Discount Price: $5,855
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Trinitas Regional Medical Center is $3,617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,855. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.08x the Medicare baseline. Located in 225 Williamson Street, Elizabeth, NJ.

Cash / Self-Pay

$5,855

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,617

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: $5,855 (175%)

Insurance Median: $3,617 (108%)

Cash: $5,855 (175% of Medicare)

Ins. Median: $3,617 (108% 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
Wellpoint	$282 - $3,546	8%
Blue Cross Blue Shield	$1,870 - $14,838	56%
Aetna	$2,612 - $3,546	78%
Amerihealth	$3,195	96%
Clover Health	$3,546	106%
Fidelis Care	$3,546	106%
Humana	$3,546	106%
UnitedHealthcare	$3,617 - $6,341	108%
Wellcare	$7,056	211%
Emblem Health	$7,092	212%
Cigna	$22,812 - $24,027	682%

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 $5,855.
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 Trinitas Regional Medical Center 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.