CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Tillamook

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $822
Cash Discount Price: $501
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Adventist Health Tillamook is $822. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.25x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$822

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: $501 (15%)

Insurance Median: $822 (25%)

Cash: $501 (15% of Medicare)

Ins. Median: $822 (25% 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
Blue Cross Blue Shield	$436 - $2,399	13%
Medicare (plans)	$436 - $526	13%
Moda Health Plan - All Plans	$436 - $511	13%
Hvhs Mcare - All Plans	$441 - $606	13%
Sterling Life - All Plans	$454 - $521	14%
Devoted Health	$471 - $541	14%
Aetna	$484 - $1,028	14%
Lifewise - All Plans	$623 - $2,488	19%
Ah Employee Health Plan - All Plans	$649 - $2,593	19%
First Choice Health- All Plans	$649 - $2,593	19%
Health Net - All Plans	$649 - $2,593	19%
Providence Preferred - All Plans	$677 - $2,703	20%
Workers Comp	$690 - $2,758	21%
Cigna	$882	26%
Phcs Preferred - All Plans	$882	26%
UnitedHealthcare	$882 - $1,061	26%
Pacificsource - All Plans	$891 - $1,179	27%
Ods Health Plan - All Other Plans	$900 - $1,170	27%

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 $501.
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 Adventist Health Tillamook 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.