CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Jones Memorial Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,434

about 0.7× the $3,343 Medicare rate · typically $1,179–$3,735

modeled estimate · not a bill or quote

What this hospital charges insurers

$728

Below the fair price — a good deal

about $1,706 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $2,434 This hospital $728 Hospital's list price $1,317

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 $728

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 $2,434 (about 0.7× the $3,343 Medicare rate). Jones Memorial Hospital charges insurers about $728 — below the fair price — a good deal. Located in Wellsville, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$481 - $4,374	14%
Blue Cross Blue Shieldmajor	$368 - $8,534	11%
Aetnamajor	$445 - $4,637	13%
Cignamajor	$642 - $10,695	19%
Humanamajor	$4,374	131%
CDPHP	$1,332	40%
Fidelis Care	$706	21%
Independent Health	$583 - $6,503	17%
MVP Health Care	$10,324	309%
UPMC Health Plan	$3,281	98%
+ 2 smaller / regional plans	$4,374 - $7,743

Government programs also on file: Medicare, Medicaid.

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, 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 Jones 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 Jones Memorial Hospital

Compare: Knee arthroscopy with meniscus repair at other NY hospitals

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