CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$905

about 0.3× the $3,343 Medicare rate · typically $426–$3,954

modeled estimate · not a bill or quote

What this hospital charges insurers

$497

Below the fair price — a good deal

about $408 under the fair price · 0.1× Medicare

Medicare pays $3,343 Fair price $905 This hospital $497 Cash price $2,004 Hospital's list price $3,930

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Lowest price of the 9 OH hospitals we have prices for — a strong deal.

Cheapest $497 Priciest $1,290

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 $905 (about 0.3× the $3,343 Medicare rate). Cincinnati Children's Hospital Medical Center charges insurers about $497, or about $2,004 in cash — below the fair price — a good deal. Located in Cincinnati, 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	$411 - $3,237	12%
Blue Cross Blue Shieldmajor	$371 - $3,735	11%
Aetnamajor	$389 - $3,930	12%
Cignamajor	$2,672 - $3,144	80%
Humanamajor	$405 - $545	12%
AmeriHealth	$417 - $490	12%
CareSource	$389 - $1,965	12%
Medical Mutual	$2,105 - $3,576	63%
Molina	$424 - $499	13%
WellCare	$409 - $545	12%
+ 13 smaller / regional plans	$444 - $3,930

Excludes 3 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 2,004), 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 Cincinnati Children's Hospital Medical Center 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 Cincinnati Children's Hospital Medical Center

Compare: Knee arthroscopy with meniscus repair at other OH hospitals

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