CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Bertrand Chaffee Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $515
Cash Discount Price: $813
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Bertrand Chaffee Hospital is $515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $813. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$813

Average discount available for prompt cash payment at this facility.

Insurance Median

$515

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: $813 (24%)

Insurance Median: $515 (15%)

Cash: $813 (24% of Medicare)

Ins. Median: $515 (15% 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
Medicare (plans)	$513 - $515	15%
Tricare	$513 - $515	15%
Iha Encompass 65	$514	15%
Advantra-Mcr Advantage	$515	15%
Aetna	$515 - $956	15%
Centers Plan Hlty Living	$515	15%
Champva	$515	15%
Cigna	$515 - $956	15%
Ctrs Plan For Hlthy Livng	$515	15%
Geisinger Health Plan	$515	15%
Humana	$515	15%
Lifetime Benefits	$515	15%
Mutual Of Omaha	$515	15%
Optimum Healthcare - Mcr	$515	15%
Todays Option - Amer Prog	$515	15%
United Hc Mcr Solutions	$515	15%
UnitedHealthcare	$515	15%
Wellcare	$515	15%
Blue Cross Blue Shield	$749 - $2,780	22%
Private Pay	$813	24%
American Progressive Ins.	$956	29%
Commercial / Misc	$956	29%
Global Excel Mgt	$956	29%
Guardian Life Ins. Co.	$956	29%
Mvp Commercial	$956	29%
No Amer Meritian Health	$956	29%
No-Fault	$956	29%
Nova Healthcare	$956	29%
Univera Healthcare	$1,218	36%
Univera Senior Choice	$1,218	36%
Senior Blue - Bc	$1,984	59%

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 $813.
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 Bertrand Chaffee Hospital 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.