CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Overlook Medical Center
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $3,765
- Cash Discount Price: $4,330
- vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Overlook Medical Center is $3,765. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,330. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.13x the Medicare baseline. Located in 99 Beauvoir Avenue, Summit, NJ.
Cash / Self-Pay
$4,330
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,765
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: $4,330 (130%)
Insurance Median: $3,765 (113%)
Cash: $4,330 (130% of Medicare)
Ins. Median: $3,765 (113% 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.
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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] | $3,008 | 90% |
| Aetna | $3,765 - $5,271 | 113% |
| Ambetter / Centene | $3,765 | 113% |
| Amerihealth Administrators Supplemental [5512] | $3,765 | 113% |
| Amerihealth Medigap [5049] | $3,765 | 113% |
| Blue Cross Blue Shield | $3,765 | 113% |
| Champva [5354] | $3,765 | 113% |
| Cigna | $3,765 | 113% |
| Claim Watcher/Homestead [5488] | $3,765 | 113% |
| Claimdoc [5434] | $3,765 | 113% |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | $3,765 | 113% |
| Fairos [5491] | $3,765 | 113% |
| Highmark Wholecare Health Plan Ip Splits [5464] | $3,765 | 113% |
| Highmark Wholecare Health Plan [5413] | $3,765 | 113% |
| Karen Ann Quinlan [5285] | $3,765 | 113% |
| Luminare Health AHS Retiree [5013] | $3,765 | 113% |
| Medicaid / KanCare | $3,765 | 113% |
| Medicare (plans) | $3,765 - $3,897 | 113% |
| Omc Pediatric Muscle Lengthening [5360] | $3,765 | 113% |
| Sedgwick Wtc Health Program Wc [5514] | $3,765 | 113% |
| Specialty Imaging [5433] | $3,765 | 113% |
| Tricare | $3,765 | 113% |
| UPMC [5455] | $3,765 | 113% |
| Us Family Health Plan [5258] | $3,765 | 113% |
| VA Community Care Network [5403] | $3,765 | 113% |
| Wellcare Behavioral Health [5335] | $3,765 | 113% |
| Wellcare Health Plans Ip Splits [5475] | $3,765 | 113% |
| Wellcare Health Plans [5269] | $3,765 | 113% |
| Amerihealth Caritas Vip Care Ip Splits [5460] | $3,802 | 114% |
| Amerihealth Caritas Vip Care [5313] | $3,802 | 114% |
| Kindred Giralda Hospital [5341] | $4,141 | 124% |
| Amerihealth [5008] | $5,253 - $6,049 | 157% |
| Allstate [5047] | $8,138 | 243% |
| Esurance No Fault [5105] | $8,138 | 243% |
| Geico No Fault [5120] | $8,138 | 243% |
| Hanover No Fault [5129] | $8,138 | 243% |
| High Point No Fault [5146] | $8,138 | 243% |
| Liberty Mutual No Fault [5173] | $8,138 | 243% |
| Medlogix/Consumer Health Network Pip (Chn) [5414] | $8,138 | 243% |
| Nj Manufacturers No Fault [5203] | $8,138 | 243% |
| Plymouth Rock Assurance No Fault [5222] | $8,138 | 243% |
| Progressive No Fault [5229] | $8,138 | 243% |
| State Farm No Fault [5241] | $8,138 | 243% |
| Travelers No Fault [5249] | $8,138 | 243% |
| Usaa No Fault [5260] | $8,138 | 243% |
| Zurich No Fault [5274] | $8,138 | 243% |
| Kessler Foundation [5532] | $12,000 | 359% |