CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Union Hospital

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$704

about 0.2× the $3,343 Medicare rate · typically $704–$1,964

modeled estimate · not a bill or quote

What this hospital charges insurers

$733

About the fair price

about $29 over the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $704 This hospital $733 Cash price $1,965 Hospital's list price $3,023

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 4 charge less, among the 9 OH hospitals compared.

Cheapest $497 Priciest $1,290

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $704 (about 0.2× the $3,343 Medicare rate). Union Hospital charges insurers about $733, or about $1,965 in cash — about the fair price. Located in Dover, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$486 - $2,998	15%
Blue Cross Blue Shieldmajor	$516 - $2,998	15%
Aetnamajor	$516 - $3,023	15%
Cignamajor	$516 - $3,088	15%
Humanamajor	$516 - $2,998	15%
AmeriHealth	$499 - $1,764	15%
CareSource	$477 - $1,603	14%
Devoted Health	$2,998	90%
Molina	$454 - $1,683	14%
Oscar Health	$807	24%
UniCare	$542 - $3,148	16%
UPMC Health Plan	$1,814 - $2,998	54%
+ 13 smaller / regional plans	$335 - $3,298

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 1,965), 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 Union 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 Union Hospital

Compare: Knee arthroscopy with meniscus repair at other OH hospitals

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