CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Sunrise Hospital and Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $686
Cash Discount Price: $1,945
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Sunrise Hospital and Medical Center is $686. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,945. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.21x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$1,945

Average discount available for prompt cash payment at this facility.

Insurance Median

$686

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: $1,945 (58%)

Insurance Median: $686 (21%)

Cash: $1,945 (58% of Medicare)

Ins. Median: $686 (21% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$338 - $627	10%
Health Plan Nevada	$338 - $658	10%
Molina	$355 - $691	11%
Silver Summit	$355 - $691	11%
Humana	$391 - $4,370	12%
Community Care Health	$516 - $1,059	15%
Molina Healthcare	$516 - $1,101	15%
Sierra Hpn	$516 - $1,059	15%
Healthcare Partners Of Nv	$521 - $705	16%
Aetna	$531 - $4,131	16%
Alignment Health Plan	$531	16%
Blue Cross Blue Shield	$531 - $4,589	16%
United	$542 - $3,180	16%
Caremore	$558	17%
Hometown Health Providers	$611 - $3,262	18%
Culinary Health Fund	$623 - $1,767	19%
Sierra	$686 - $3,106	21%
Cigna	$691 - $8,350	21%
Multiplan	$705 - $3,500	21%
Select Health	$1,060 - $5,307	32%
Caresource	$1,101	33%
Corvel	$2,147 - $4,040	64%
Olympus Medsave Usa	$2,260 - $4,253	68%
Ambetter / Centene	$2,626 - $3,335	79%
Legacy Provider Network	$3,828	115%
Comp-Med Workers Comp	$4,125	123%
Health Services Coalition	$6,881 - $7,156	206%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,945.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sunrise Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.