CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Euclid Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,008
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Euclid Hospital is $3,008. 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 0.90x the Medicare baseline. Located in 18901 Lake Shore Boulevard, Euclid, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,008

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: $3,008 (90%)

Ins. Median: $3,008 (90% 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
UnitedHealthcare	$1,584 - $3,008	47%
Paramount	$1,718	51%
Blue Cross Blue Shield	$1,751 - $3,008	52%
Buckeye	$1,751	52%
Molina	$1,751	52%
United Bh	$1,768	53%
Caresource	$1,784	53%
United	$1,784 - $3,008	53%
Amerihealth	$1,834	55%
The Health Plan	$2,808	84%
Aetna	$3,008	90%
Devoted Health	$3,008	90%
Humana	$3,008	90%
Mmo	$3,008 - $3,098	90%
Summacare	$3,008	90%
Upmc	$3,008	90%
Valor	$3,008	90%
Cigna	$3,098	93%
Communicare	$3,158	94%
Perennial Health	$3,249	97%
Pphp	$3,309	99%

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 Euclid Hospital 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.