CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cleveland Clinic

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,806
Cash Discount Price: $1,965
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Cleveland Clinic is $1,806. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,965. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.54x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.

Cash / Self-Pay

$1,965

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,806

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%)

Cash / Self-Pay: $1,965 (59%)

Insurance Median: $1,806 (54%)

Cash: $1,965 (59% of Medicare)

Ins. Median: $1,806 (54% 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
Summacare	$335 - $3,008	10%
UnitedHealthcare	$431 - $3,008	13%
Paramount	$468 - $1,969	14%
Buckeye	$477 - $2,008	14%
Caresource	$477 - $1,912	14%
United	$486 - $7,778	15%
Amerihealth	$499	15%
Molina	$499 - $2,008	15%
Aetna	$516 - $3,023	15%
Blue Cross Blue Shield	$516 - $7,011	15%
Devoted Health	$516 - $3,008	15%
Humana	$516 - $3,008	15%
The Health Plan	$516 - $3,008	15%
Upmc	$516 - $3,008	15%
Valor	$516 - $3,008	15%
Cigna	$532 - $6,358	16%
Communicare	$542 - $3,158	16%
Perennial Health	$557 - $3,249	17%
Pphp	$557 - $3,309	17%
Zing Health	$568 - $3,309	17%
Oscar	$807	24%
Cc Ehp	$981	29%
Ohcp	$1,176	35%
Ohio Healthy	$1,209	36%
Aultcare	$1,300	39%
Amish Community Aid Plan	$1,360	41%
Omas	$1,512	45%
Healthsmart	$1,663	50%
Mmo	$1,746 - $10,260	52%
Phphi	$1,814	54%
Clarity Health	$1,965	59%
United Bh	$2,103	63%
Gms	$2,116	63%
Quality Care Partners	$2,116	63%
Consociate Health	$2,267	68%
Multiplan	$2,721	81%
Three Rivers	$2,721	81%
Usa Managed Care	$2,721	81%

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 $1,965.
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 Cleveland Clinic 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.