CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mount Carmel Dublin

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$5,770

about 1.7× the $3,343 Medicare rate · typically $2,892–$9,807

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,933

About the fair price

about $163 over the fair price · 1.8× Medicare

Medicare pays $3,343 Fair price $5,770 This hospital $5,933 Cash price $27,976

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 $5,933

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Knee arthroscopy with meniscus repair is about $5,770 (about 1.7× the $3,343 Medicare rate). Mount Carmel Dublin charges insurers about $5,933, or about $27,976 in cash — about the fair price. Located in Dublin, 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	$3,154 - $12,804	94%
Blue Cross Blue Shieldmajor	$3,092 - $9,789	92%
Aetnamajor	$3,092 - $8,144	92%
Cignamajor	$5,933	177%
GEHA	$12,804	383%
HealthPartners	$5,933	177%
Medical Mutual	$7,753 - $10,688	232%
MVP Health Care	$5,933	177%
Oscar Health	$5,206	156%
Priority Health	$5,933	177%
+ 8 smaller / regional plans	$3,218 - $10,688

Government programs also on file: Medicare.

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 27,976), 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 Mount Carmel Dublin 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 Mount Carmel Dublin

Compare: Knee arthroscopy with meniscus repair at other OH hospitals

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