CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Newton Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,001

about 1.2× the $3,343 Medicare rate · typically $3,136–$5,101

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,545

Below the fair price — a good deal

about $456 under the fair price · 1.1× Medicare

Medicare pays $3,343 Fair price $4,001 This hospital $3,545 Cash price $3,546 Hospital's list price $31,473

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $1,120 Priciest $3,681

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

A fair price for a Knee arthroscopy with meniscus repair is about $4,001 (about 1.2× the $3,343 Medicare rate). Newton Medical Center charges insurers about $3,545, or about $3,546 in cash — below the fair price — a good deal. Located in Newton, NJ.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor	$3,545 - $11,952	106%
Aetnamajor	$3,545 - $4,964	106%
Cignamajor	$3,545	106%
Ambetter (Centene)	$3,545	106%
AmeriHealth	$3,545 - $7,820	106%
Health Net	$8,138	243%
UPMC Health Plan	$3,545	106%
WellCare	$3,545	106%
+ 25 smaller / regional plans	$1,114 - $12,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (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 3,546), 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 Newton Medical 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 Newton Medical Center

Compare: Knee arthroscopy with meniscus repair at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $1,120
Capital Health Regional Medical Center · Trenton $3,546
Centrastate Medical Center · Freehold $3,591
Jfk University Medical Center · Edison $3,594
Trinitas Regional Medical Center · Elizabeth $3,617
Carewell Health Medical Center · East Orange $3,640
Inspira Medical Center Vineland · Vineland $3,681
Inspira Medical Center Mullica Hill · Elmer $3,681

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