CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St Francis Hospital - the Heart Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,840
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at St Francis Hospital - the Heart Center is $3,840. 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 1.15x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,840

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: $3,840 (115%)
Ins. Median: $3,840 (115% 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.

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
Zadroga $1,197 36%
Brighton $2,102 - $5,879 63%
Affinity Health Plan $2,209 - $4,971 66%
Centerlight Healthcare $2,209 - $3,840 66%
Elderplan Inc. $2,209 - $3,840 66%
Emblem Health $2,209 - $5,721 66%
Fidelis Care New York $2,209 - $4,971 66%
Health First $2,209 - $8,639 66%
Health Plus $2,209 - $4,971 66%
Independent Health $2,209 - $3,840 66%
Medicaid / KanCare $2,209 66%
Mvp Health Plans $2,209 - $5,190 66%
Senior Whole Health $2,209 - $3,840 66%
UnitedHealthcare $2,209 - $6,542 66%
Blue Cross Blue Shield $3,763 - $6,542 113%
Aetna $3,840 - $5,919 115%
Centers Plan For Healthy Living $3,840 115%
Healthspring $3,840 115%
Liberty Health $3,840 115%
Longevity Health Plan $3,840 115%
Medicare (plans) $3,840 - $4,032 115%
Orthonet - Uniformed Services Family Health Plan $3,840 115%
Pmc $3,840 115%
Tricare $3,840 115%
Universal Healthcare $3,840 115%
Us Family Health Plan $3,840 115%
Veterans Affairs $3,840 115%
Centivo $3,913 - $5,190 117%
Humana $3,916 117%
Local 1199 $3,945 118%
Agewell New York $3,974 119%
Partners Health Plan $4,032 121%
Wellcare Health Plan Inc $4,223 126%
Apwu $5,190 155%
Cigna $5,190 155%
Daniel H Cook $5,190 155%
Nalc $5,190 155%
Samba $5,190 155%
American Plan Administrators $5,721 171%
Amerihealth Administrators $5,721 171%
Benefit Services $5,721 171%
Ghi Cbp Ny City Employee Alternate $5,721 171%
International Benefit Administrator $5,721 171%
Ultra Benefits Inc. $5,721 171%
Surest $5,768 173%
Mail Handlers Benefit Plan $5,919 177%
Meritain Health $5,919 177%
Nippon Life Insurance Company Of America $5,919 177%
Salvation Army $5,919 177%
Self Pay $6,542 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals