CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Bay Area Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,895
Cash Discount Price: $4,970
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Bay Area Hospital is $3,895. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,970. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.17x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$4,970

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,895

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: $4,970 (149%)

Insurance Median: $3,895 (117%)

Cash: $4,970 (149% of Medicare)

Ins. Median: $3,895 (117% 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
Healthnet Mcr Adv	$551 - $4,207	16%
Moda Hlth Mcr Adv	$551 - $4,285	16%
Southwest Oregon Ipa - All Plans	$660 - $3,233	20%
Blue Cross Blue Shield	$1,078 - $39,964	32%
Providence - All Other Plans	$1,092 - $10,380	33%
Providence Pebb	$1,092 - $15,035	33%
Pacificsource - All Plans	$1,248 - $9,487	37%
Nasomah Hlth Grp - All Plans	$1,255 - $6,697	38%
Ods Ppo/Pos - All Plans	$1,279 - $15,152	38%
Moda Beacon - All Other Plans	$1,352 - $10,556	40%
Moda Connexus/Synergy	$1,503 - $9,933	45%
Healthnet Comm- All Other Plans	$1,988 - $10,603	59%
Healthnet Mcaid	$2,092 - $3,895	63%
Prov Behav Hlth	$2,615	78%
First Choice - All Plans	$10,157	304%
Aetna	$10,268	307%
Cigna	$10,268	307%
UnitedHealthcare	$10,603	317%

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 $4,970.
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 Bay Area Hospital 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.