CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St John's Riverside Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,856

about 1.2× the $3,343 Medicare rate · typically $1,932–$6,526

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,064

About the fair price

about $208 over the fair price · 1.2× Medicare

Medicare pays $3,343 Fair price $3,856 This hospital $4,064 Cash price $7,698 Hospital's list price $9,056

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 $4,064

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 $3,856 (about 1.2× the $3,343 Medicare rate). St John's Riverside Hospital charges insurers about $4,064, or about $7,698 in cash — about the fair price. Located in Yonkers, 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	$4,064 - $7,573	122%
Blue Cross Blue Shieldmajor	$4,060	121%
Aetnamajor	$3,783 - $4,064	113%
Cignamajor	$3,690	110%
Fidelis Care	$3,861 - $4,064	115%
MagnaCare	$4,064	122%
MVP Health Care	$4,064 - $16,867	122%
Oscar Health	$4,064 - $4,268	122%
WellCare	$4,064	122%
+ 9 smaller / regional plans	$1,648 - $4,268

Government programs also on file: Medicare.

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 (about 7,698), 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 John's Riverside 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 John's Riverside Hospital

Compare: Knee arthroscopy with meniscus repair at other NY hospitals

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