CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Kettering Health Miamisburg

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,461

about 2.2× the $3,343 Medicare rate · typically $3,853–$10,607

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,179

About the fair price

about $718 over the fair price · 2.4× Medicare

Medicare pays $3,343 Fair price $7,461 This hospital $8,179

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $497 Priciest $8,179

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 $7,461 (about 2.2× the $3,343 Medicare rate). Kettering Health Miamisburg charges insurers about $8,179 — about the fair price. Located in Miamisburg, OH.

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✓ Cigna HumanaKaiser 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	$5,034 - $10,499	151%
Blue Cross Blue Shieldmajor	$4,920 - $11,338	147%
Aetnamajor	$3,244 - $14,015	97%
Cignamajor	$18,609	557%
CareSource	$5,014	150%
Medical Mutual	$7,642 - $10,917	229%
Molina	$3,406 - $6,735	102%
+ 2 smaller / regional plans	$6,812 - $8,715

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, 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 Kettering Health Miamisburg 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 (%)

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Other Procedures at Kettering Health Miamisburg

Compare: Knee arthroscopy with meniscus repair at other OH hospitals

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