CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Jfk University Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $5,371
  • Cash Discount Price: $3,420
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Jfk University Medical Center is $5,371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,420. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.61x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$3,420

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: $3,420 (102%)
Insurance Median: $5,371 (161%)
Cash: $3,420 (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
Horizon $568 - $8,615 17%
Karna $1,185 35%
Aetna $1,235 - $10,692 37%
UnitedHealthcare $1,319 - $15,496 39%
Clover $1,381 41%
Seoul Medical Group $1,650 49%
Amerigroup $2,010 - $3,594 60%
Vaccn $3,245 - $3,594 97%
Wellcare $3,245 - $3,594 97%
United Community/Americhoice $3,407 - $3,774 102%
Blue Cross Blue Shield $3,594 108%
Activecare First McO $5,371 161%
Intergroup $5,371 161%
Brighton Health Plan $5,430 - $15,984 162%
Bergen Risk $5,755 172%
Prime Health $6,138 184%
Multiplan - PHCS $6,522 195%
Cigna $6,943 208%
Qualcare $7,105 213%
Amerihealth $7,259 217%
Oxford $12,418 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals