CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: UPMC Horizon

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,418
about 0.7× the $3,343 Medicare rate · typically $1,217–$2,787
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,769
About the fair price
about $351 over the fair price · 0.8× Medicare
Medicare pays $3,343 Fair price $2,418 This hospital $2,769

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 $2,769

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 $2,418 (about 0.7× the $3,343 Medicare rate). UPMC Horizon charges insurers about $2,769 — about the fair price. Located in Greenville, 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 $3,248 - $3,310 97%
Blue Cross Blue Shieldmajor $806 - $5,805 24%
Aetnamajor $598 - $3,248 18%
Cignamajor $3,341 100%
AmeriHealth $848 - $3,341 25%
Geisinger $755 23%
HealthPartners $820 25%
UPMC Health Plan $598 - $3,250 18%
+ 1 smaller / regional plan $926 - $3,341

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Facility Profile & Credentials

  • Address: 110 North Main Street, Greenville, PA 16125
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals