CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: UPMC Lititz

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,766

about 1.1× the $3,343 Medicare rate · typically $2,932–$7,008

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,250

Below the fair price — a good deal

about $516 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,766 This hospital $3,250

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $606 Priciest $3,250

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

A fair price for a Knee arthroscopy with meniscus repair is about $3,766 (about 1.1× the $3,343 Medicare rate). UPMC Lititz charges insurers about $3,250 — below the fair price — a good deal. Located in Lititz, PA.

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	$1,221 - $3,334	37%
Blue Cross Blue Shieldmajor	$690 - $9,802	21%
Aetnamajor	$3,250	97%
Cignamajor	$3,272 - $6,971	98%
AmeriHealth	$734	22%
Geisinger	$792 - $3,272	24%
HealthPartners	$740	22%
UPMC Health Plan	$707 - $3,250	21%
+ 1 smaller / regional plan	$4,986

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, 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 UPMC Lititz 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 UPMC Lititz

Compare: Knee arthroscopy with meniscus repair at other PA hospitals

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