CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Community Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,065
about 1.2× the $3,343 Medicare rate · typically $3,022–$5,087
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,115
Above the fair price
about $1,050 over the fair price · 1.5× Medicare
Medicare pays $3,343 Fair price $4,065 This hospital $5,115 Cash price $3,786

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $1,120 Priciest $5,115

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 $4,065 (about 1.2× the $3,343 Medicare rate). Community Medical Center charges insurers about $5,115, or about $3,786 in cash — above the fair price. Located in Toms River, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,065. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $3,617 - $6,341 108%
Blue Cross Blue Shieldmajor $483 - $3,546 14%
Aetnamajor $3,546 - $6,680 106%
Cignamajor $15,999 - $21,412 479%
Humanamajor $3,546 106%
Clover Health $3,546 106%
Fidelis Care $3,546 106%
WellCare $7,056 211%
+ 2 smaller / regional plans $5,115 - $6,205

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 99 Rt 37 West, Toms River, NJ 08755
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals