CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Ocean Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $5,371
  • Cash Discount Price: $3,395
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Ocean Medical Center is $5,371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,395. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.61x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.
Cash / Self-Pay
$3,395

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,371

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: $3,395 (102%)
Insurance Median: $5,371 (161%)
Cash: $3,395 (102% of Medicare)
Ins. Median: $5,371 (161% 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
Aetna $1,090 - $10,692 33%
Karna $1,144 - $1,185 34%
UnitedHealthcare $1,189 - $14,134 36%
Clover $1,381 41%
Seoul Medical Group $1,489 - $1,650 45%
Horizon $1,967 - $10,671 59%
Amerigroup $3,245 97%
Vaccn $3,245 - $3,546 97%
Wellcare $3,245 - $3,546 97%
United Community/Americhoice $3,407 - $3,723 102%
Blue Cross Blue Shield $3,546 106%
Cigna $4,414 - $6,943 132%
Activecare First McO $5,371 - $6,522 161%
Intergroup $5,371 161%
Brighton Health Plan $5,430 - $15,984 162%
Bergen Risk $5,755 172%
Qualcare $5,962 - $6,752 178%
Prime Health $6,138 184%
Multiplan - PHCS $6,522 195%
Amerihealth $6,593 - $7,467 197%
Oxford $11,153 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 Jack Martin Blvd, Brick, NJ 08724
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals