CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: NYU Langone Hospitals

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $5,442
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at NYU Langone Hospitals is $5,442. 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 1.63x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,442

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: $5,442 (163%)

Ins. Median: $5,442 (163% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthfirst	$1,431 - $5,442	43%
Amida	$2,419	72%
Fidelis	$2,419 - $5,442	72%
Healthplus	$2,419 - $5,442	72%
Hip	$2,419 - $8,427	72%
Medicaid / KanCare	$2,419	72%
Metroplus	$2,419 - $7,602	72%
UnitedHealthcare	$2,419 - $10,978	72%
Somos	$2,540 - $3,265	76%
Ghi	$3,839 - $12,574	115%
Medicare (plans)	$3,839	115%
Wellcare	$3,839	115%
Centerlight	$3,916	117%
Oscar	$6,283	188%
Cigna	$6,487	194%
Oxford	$6,953 - $9,645	208%
1199	$7,259 - $8,539	217%
Hamaspik	$7,679	230%
Blue Cross Blue Shield	$10,869 - $13,586	325%
Aetna	$11,080	331%
Magnacare	$13,453 - $25,798	402%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm NYU Langone Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.