CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St Anthony Community Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$8,884

about 2.7× the $3,343 Medicare rate · typically $3,503–$10,677

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,719

About the fair price

about $165 under the fair price · 2.6× Medicare

Medicare pays $3,343 Fair price $8,884 This hospital $8,719

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $515 Priciest $8,719

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 $8,884 (about 2.7× the $3,343 Medicare rate). St Anthony Community Hospital charges insurers about $8,719 — about the fair price. Located in Warwick, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$7,411 - $8,719	222%
Blue Cross Blue Shieldmajor	$10,414 - $12,827	312%
Aetnamajor	$9,869 - $10,965	295%
Cignamajor	$7,268	217%
Geisinger	$13,412	401%
MagnaCare	$8,760	262%
Molina	$4,268	128%
MVP Health Care	$4,064 - $12,212	122%
+ 5 smaller / regional plans	$4,064 - $7,411

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 29881.

Insurance Before you use insurance

Call your insurance company to confirm St Anthony Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 29881.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Anthony Community Hospital

Compare: Knee arthroscopy with meniscus repair at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.