CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Adventist Health Tillamook

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$875

about 0.3× the $3,343 Medicare rate · typically $474–$2,835

modeled estimate · not a bill or quote

What this hospital charges insurers

$591

Below the fair price — a good deal

about $284 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $875 This hospital $591 Cash price $501 Hospital's list price $928

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $591 Priciest $962

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

A fair price for a Knee arthroscopy with meniscus repair is about $875 (about 0.3× the $3,343 Medicare rate). Adventist Health Tillamook charges insurers about $591, or about $501 in cash — below the fair price — a good deal. Located in Tillamook, OR.

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	$882 - $1,061	26%
Blue Cross Blue Shieldmajor	$436 - $2,399	13%
Aetnamajor	$484 - $1,028	14%
Cignamajor	$882	26%
Devoted Health	$471 - $541	14%
Health Net	$649 - $2,593	19%
Moda Health	$436 - $511	13%
PacificSource	$891 - $1,179	27%
+ 7 smaller / regional plans	$441 - $2,703

Government programs also on file: Medicare.

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 501), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

Compare: Knee arthroscopy with meniscus repair at other OR hospitals

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