CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: UPMC Greene

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,924

about 0.9× the $3,343 Medicare rate · typically $1,341–$3,469

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,109

About the fair price

about $185 over the fair price · 0.9× Medicare

Medicare pays $3,343 Fair price $2,924 This hospital $3,109

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 $3,109

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 $2,924 (about 0.9× the $3,343 Medicare rate). UPMC Greene charges insurers about $3,109 — about the fair price. Located in Waynesburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$625 - $6,160	19%
Aetnamajor	$652 - $6,651	20%
Humanamajor	$3,124	93%
AmeriHealth	$641	19%
UPMC Health Plan	$3,093	93%
+ 2 smaller / regional plans	$3,093 - $6,187

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 Greene 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 Greene

Compare: Knee arthroscopy with meniscus repair at other PA hospitals

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