CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: The University of Vermont Health Network - Champl

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$863

about 0.3× the $3,343 Medicare rate · typically $836–$2,399

modeled estimate · not a bill or quote

What this hospital charges insurers

$988

About the fair price

about $125 over the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $863 This hospital $988 Cash price $1,299 Hospital's list price $1,299

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 $988

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 $863 (about 0.3× the $3,343 Medicare rate). The University of Vermont Health Network - Champl charges insurers about $988, or about $1,299 in cash — about the fair price. Located in Plattsburgh, 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✓ Humana CignaKaiser 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	$359 - $3,964	11%
Blue Cross Blue Shieldmajor	$513 - $18,826	15%
Aetnamajor	$513 - $3,964	15%
Humanamajor	$513 - $3,766	15%
Fidelis Care	$513 - $3,964	15%
Harvard Pilgrim	$1,039	31%
MagnaCare	$1,039	31%
MVP Health Care	$436 - $3,964	13%
+ 3 smaller / regional plans	$513 - $4,246

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 (about 1,299), 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 The University of Vermont Health Network - Champl 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 The University of Vermont Health Network - Champl

Compare: Knee arthroscopy with meniscus repair at other NY hospitals

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