CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Columbia Memorial Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$719

about 0.2× the $3,343 Medicare rate · typically $556–$1,723

modeled estimate · not a bill or quote

What this hospital charges insurers

$626

Below the fair price — a good deal

about $93 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $719 This hospital $626 Cash price $1,067 Hospital's list price $2,134

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $515 Priciest $626

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $719 (about 0.2× the $3,343 Medicare rate). Columbia Memorial Hospital charges insurers about $626, or about $1,067 in cash — below the fair price — a good deal. Located in Hudson, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$236 - $707	7%
Blue Cross Blue Shieldmajor	$492 - $5,581	15%
Aetnamajor	$607 - $6,148	18%
Cignamajor	$738 - $762	22%
CDPHP	$415 - $5,379	12%
Fidelis Care	$560 - $4,886	17%
MVP Health Care	$412 - $4,560	12%
+ 4 smaller / regional plans	$551 - $5,759

Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,067), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm Columbia Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Columbia Memorial Hospital

Compare: Knee arthroscopy with meniscus repair at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.