CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Montefiore New Rochelle Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,839
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Montefiore New Rochelle Hospital is $3,839. 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 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,839

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: $3,839 (115%)
Ins. Median: $3,839 (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
UnitedHealthcare $560 - $14,321 17%
Healthfirst $1,332 - $3,839 40%
Molina Healthcare Of Ny Affinity $2,052 - $5,298 61%
Amidacare $2,094 - $4,031 63%
Emblem $2,094 - $15,963 63%
Empire $2,094 - $9,074 63%
Fidelis $2,094 - $3,839 63%
Medicaid / KanCare $2,094 63%
Metroplus $2,094 - $4,991 63%
Mvp $2,094 - $4,292 63%
Wellcare $2,115 - $3,916 63%
Hamaspik $2,198 - $4,146 66%
Vnsny Choice $2,408 - $3,839 72%
Vnsny Select Health $2,408 72%
Oscar $3,549 - $7,276 106%
Villagecaremax $3,839 115%
Centerlight $3,954 118%
Partners_Health_Plan $4,031 121%
Humana $4,223 126%
Aetna $6,000 - $6,712 179%
Northwell $10,327 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals