CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Jacobi Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $2,389
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Jacobi Medical Center is $2,389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.71x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,389

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%)
Insurance Median: $2,389 (71%)
Ins. Median: $2,389 (71% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $257 - $558 8%
Emblem $319 - $5,759 10%
Magnacare $320 10%
Oxford $362 - $410 11%
United $434 - $2,752 13%
Healthfirst $518 - $4,954 15%
Oscar $614 18%
Wellcare $699 21%
Fidelis $932 - $5,452 28%
Metroplus $2,005 - $4,954 60%
Amidacare $2,202 66%
Blue Cross Blue Shield $2,202 - $9,301 66%
Carelon $2,202 - $7,557 66%
Senior Whole Health $2,202 66%
United Behavioral Health $2,202 - $2,422 66%
Affinity $2,246 - $4,954 67%
Carelon (Amida Care) $2,246 67%
Vnsny $2,246 - $3,840 67%
Elderplan $3,840 115%
Vaccn $3,840 115%
Centers Plan For Healthy Living $3,993 119%
Centerlight $5,813 174%
Multiplan $9,301 278%
Local 1199 $9,882 296%
Villagecare Max $9,882 296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals