CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mercy Hospital Ada

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,474

about 1.0× the $3,343 Medicare rate · typically $2,741–$4,685

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,243

About the fair price

about $231 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,474 This hospital $3,243 Cash price $15,303 Hospital's list price $23,544

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $473 Priciest $3,243

Black dot = this hospital, among the 9 OK 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 $3,474 (about 1.0× the $3,343 Medicare rate). Mercy Hospital Ada charges insurers about $3,243, or about $15,303 in cash — about the fair price. Located in Ada, OK.

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	$3,243	97%
Blue Cross Blue Shieldmajor	$506 - $3,245	15%
Aetnamajor	$2,889 - $3,243	86%
Cignamajor	$3,342	100%
Humanamajor	$2,889 - $3,305	86%
Ambetter (Centene)	$4,462	133%
Independent Health	$3,243	97%
+ 19 smaller / regional plans	$3,243 - $7,296

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 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 15,303), 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 Mercy Hospital Ada 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 Mercy Hospital Ada

Compare: Knee arthroscopy with meniscus repair at other OK hospitals

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