CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St James Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$974
about 0.3× the $3,343 Medicare rate · typically $603–$2,619
modeled estimate · not a bill or quote
What this hospital charges insurers
$603
Below the fair price — a good deal
about $371 under the fair price · 0.2× Medicare
Medicare pays $3,343 Fair price $974 This hospital $603 Cash price $1,748 Hospital's list price $3,496

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 7 of 8 other NY hospitals charge less.

Cheapest $515 Priciest $615

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 $974 (about 0.3× the $3,343 Medicare rate). St James Hospital charges insurers about $603, or about $1,748 in cash — below the fair price — a good deal. Located in Hornell, 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 $471 - $4,374 14%
Blue Cross Blue Shieldmajor $256 - $9,779 8%
Aetnamajor $445 - $4,374 13%
Cignamajor $642 - $9,838 19%
Humanamajor $4,374 131%
CDPHP $1,332 40%
Fidelis Care $398 - $467 12%
MVP Health Care $465 - $9,497 14%
+ 1 smaller / regional plan $9,230
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals