CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Newton Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,545
  • Cash Discount Price: $3,546
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Newton Medical Center is $3,545. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,546. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.06x the Medicare baseline. Located in 175 High St, Newton, NJ.
Cash / Self-Pay
$3,546

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,545

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: $3,546 (106%)
Insurance Median: $3,545 (106%)
Cash: $3,546 (106% of Medicare)
Ins. Median: $3,545 (106% 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
Wtc Health Program [5273] $1,114 33%
Horizon Nj Health [5021] $3,167 95%
Karen Ann Quinlan [5285] $3,545 106%
Cosmetic Surgery/Lap Band/Gastric Bypass [5289] $3,545 106%
VA Community Care Network [5403] $3,545 106%
Highmark Wholecare Health Plan [5413] $3,545 106%
Claimdoc [5434] $3,545 106%
Medicaid / KanCare $3,545 106%
Highmark Wholecare Health Plan Ip Splits [5464] $3,545 106%
Amerihealth Administrators Supplemental [5512] $3,545 106%
Tricare $3,545 106%
UPMC [5455] $3,545 106%
Aetna $3,545 - $4,964 106%
Wellcare Health Plans [5269] $3,545 106%
Medicare (plans) $3,545 - $3,669 106%
Champva [5354] $3,545 106%
Luminare Health AHS Retiree [5013] $3,545 106%
Blue Cross Blue Shield $3,545 - $11,952 106%
Sedgwick Wtc Health Program Wc [5514] $3,545 106%
Us Family Health Plan [5258] $3,545 106%
Fairos [5491] $3,545 106%
Claim Watcher/Homestead [5488] $3,545 106%
Wellcare Health Plans Ip Splits [5475] $3,545 106%
Cigna $3,545 106%
Ambetter / Centene $3,545 106%
Amerihealth Medigap [5049] $3,545 106%
Wellcare Behavioral Health [5335] $3,545 106%
Specialty Imaging [5433] $3,545 106%
Amerihealth Caritas Vip Care Ip Splits [5460] $3,581 107%
Amerihealth Caritas Vip Care [5313] $3,581 107%
Kindred Giralda Hospital [5341] $3,900 117%
Amerihealth [5008] $6,359 - $7,820 190%
Nj Manufacturers No Fault [5203] $8,138 243%
High Point No Fault [5146] $8,138 243%
Liberty Mutual No Fault [5173] $8,138 243%
Progressive No Fault [5229] $8,138 243%
Esurance No Fault [5105] $8,138 243%
Plymouth Rock Assurance No Fault [5222] $8,138 243%
Hanover No Fault [5129] $8,138 243%
Usaa No Fault [5260] $8,138 243%
Medlogix/Consumer Health Network Pip (Chn) [5414] $8,138 243%
State Farm No Fault [5241] $8,138 243%
Zurich No Fault [5274] $8,138 243%
Travelers No Fault [5249] $8,138 243%
Allstate [5047] $8,138 243%
Geico No Fault [5120] $8,138 243%
Kessler Foundation [5532] $12,000 359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals