CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St Mary Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $272
  • Cash Discount Price: $1,218
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at St Mary Medical Center is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,218. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.08x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$1,218

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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: $1,218 (36%)
Insurance Median: $272 (8%)
Cash: $1,218 (36% of Medicare)
Ins. Median: $272 (8% 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.

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
Health America Advantra $52 - $4,233 2%
Medicare (plans) $52 - $6,349 2%
Albany County Correctional Facility $54 - $272 2%
Ambetter / Centene $54 - $6,296 2%
Amish Mennonite $54 - $272 2%
Ascension St. Vincent Public Safety Medical $54 - $272 2%
Bcccp-Michigan $54 - $272 2%
Bccp $54 - $272 2%
Blue Cross Blue Shield $54 - $3,527 2%
Bmc Healthnet $54 - $272 2%
Breast Grant-Connecticut $54 - $272 2%
Broward County Dept Of Health $54 - $272 2%
California Health And Wellness $54 - $272 2%
Cardinal Innovations Lme $54 - $272 2%
Care Connections Of Northern Iowa $54 - $272 2%
Care Oregon Ohp $54 - $272 2%
Cencal Health Plan $54 - $272 2%
Cenpatico $54 - $272 2%
Chhuny $54 - $272 2%
Childrens Comm Health Plan $54 - $272 2%
Childrens Medical Services Title 19 $54 - $272 2%
Cigna $54 - $5,733 2%
City Of Philadelphia $54 - $272 2%
Cmh Allegan County $54 - $272 2%
Cmh Ausable Valley $54 - $272 2%
Cmh Barry County $54 - $272 2%
Cmh Bay-Arenac County $54 - $272 2%
Cmh Berrien County $54 - $272 2%
Cmh Cass County $54 - $272 2%
Cmh Central Mi County $54 - $272 2%
Cmh Clinton-Eaton-Ingham County $54 - $272 2%
Cmh Detroit Wayne Integrated Health Network $54 - $272 2%
Cmh Genesee County $54 - $272 2%
Cmh Ionia County $54 - $272 2%
Cmh Jackson County/Lifeways $54 - $272 2%
Cmh Kalamazoo $54 - $272 2%
Cmh Kent County $54 - $272 2%
Cmh Lenawee County $54 - $272 2%
Cmh Livingston County $54 - $272 2%
Cmh Macomb $54 - $272 2%
Cmh Misc $54 - $272 2%
Cmh Monroe County $54 - $272 2%
Cmh Montcalm County $54 - $272 2%
Cmh Muskegon County $54 - $272 2%
Cmh Newaygo County $54 - $272 2%
Cmh North Country $54 - $272 2%
Cmh Northern Lakes County $54 - $272 2%
Cmh Oakland County $54 - $272 2%
Cmh Ottawa County $54 - $272 2%
Cmh Van Buren County $54 - $272 2%
Cmh Washtenaw County $54 - $272 2%
Cmh Wayne County/Carelink $54 - $272 2%
Cmh Wayne Cty/Com Liv Svcs $54 - $272 2%
Cmh West Mi County $54 - $272 2%
Community Benefit Health $54 - $272 2%
Community Care Behavorial Health $54 - $272 2%
Community Care Partners $54 - $272 2%
Community Health Choice $54 - $272 2%
Connections Csp $54 - $272 2%
County Coroner $54 - $272 2%
County Funding Generic $54 - $272 2%
Covid19 Hrsa Uninsured Testing And Treatment Fund $54 - $272 2%
Dean Wi Badgercare $54 - $272 2%
Delaware County Department Of Health $54 - $272 2%
Delaware First Health $54 - $272 2%
Delta Dental Nj $54 - $272 2%
Dph Tb Program $54 - $272 2%
Dscc $54 - $272 2%
Eastpointe Lme $54 - $272 2%
Family Health Network $54 - $272 2%
Freedom First Healthcare $54 - $272 2%
Fresno County Ccs $54 - $272 2%
Ghc Scw Wi Badgercare $54 - $272 2%
Harbor Health $54 - $272 2%
Health Safety Net $54 - $272 2%
Healthy Blue Ne $54 - $272 2%
Hennepin Health $54 - $272 2%
Humana $54 - $2,196 2%
Id County Ada $54 - $272 2%
Id County Canyon $54 - $272 2%
Id County Cat Fund $54 - $272 2%
Id County Other $54 - $272 2%
Id County Payette $54 - $272 2%
Idaho Dept Health And Wellfare $54 - $272 2%
Idaho Womens Health Check $54 - $272 2%
Indiana Breast Cervical Cancer $54 - $272 2%
Inland Empire Health Plan $54 - $272 2%
Intercommunity Health Ohp $54 - $272 2%
Iowa Total Care $54 - $272 2%
Jai Medical System $54 - $272 2%
Kern Family Health Plan $54 - $272 2%
Keystone First $54 - $4,404 2%
Keystone First Chip $54 - $4,404 2%
La Care Health Plan $54 - $272 2%
Lakeland Care Inc $54 - $272 2%
Managed Health Services - Indiana $54 - $272 2%
Maryland Breast & Cervical Program $54 - $272 2%
Maryland Healthy Smiles - Scion Dental $54 - $272 2%
Maryland Physicians Care $54 - $272 2%
Massachusetts Behavioral Health Partnership $54 - $272 2%
Mdwise $54 - $272 2%
Medi-Cal $54 - $272 2%
Medi-Cal Healthnet $54 - $272 2%
Medicaid / KanCare $54 - $4,404 2%
Medstar Dc Healthy Family $54 - $272 2%
Medstar Md Health Choice $54 - $272 2%
Mo Home State Health Plan $54 - $272 2%
Molina Centennial Care $54 - $272 2%
Nascentia Health Options $54 - $272 2%
Nebraska Total Care $54 - $272 2%
New York Cancer Services Program $54 - $272 2%
Nextlevel Health $54 - $272 2%
Oregon Screenwise $54 - $272 2%
Pace Of Southwest Michigan $54 - $396 2%
Paramount Advantage $54 - $272 2%
Parkland Community Health Plan $54 - $272 2%
Partners Behavioral Lme $54 - $272 2%
Peach State Healthplan $54 - $272 2%
Philadelphia County Funding $54 - $272 2%
Presbyterian Centennial Care $54 - $272 2%
Prestige Health Choice $54 - $272 2%
Priority Partners $54 - $272 2%
Robert F Sing Program $54 - $272 2%
Rx 340B Pass Along $54 - $272 2%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $54 - $272 2%
Rx Medi-Cal $54 - $272 2%
Rx Meridian Rx $54 - $272 2%
Ryan White Florida Mssrp $54 - $272 2%
Sandhills Center Lme $54 - $272 2%
Screening For Life $54 - $272 2%
St Joseph County Hlth Dpt $54 - $272 2%
Stephenson Cty Health $54 - $272 2%
Sunshine State Health Plan $54 - $272 2%
Superior Health $54 - $272 2%
Tenncare $54 - $272 2%
Texas Children'S Health Plan $54 - $272 2%
Trillium Community Ohp $54 - $272 2%
Tufts Health Public Plans $54 - $272 2%
Vaya Health Lme $54 - $272 2%
Washtenaw Health Plan $54 - $272 2%
Wellsense Health Plan $54 - $272 2%
Wi Womens Wellness $54 - $272 2%
Prime Healthcare $56 - $6,349 2%
Health Partners $57 - $538 2%
Jefferson Health Plan Commercial $57 - $6,420 2%
Amerihealth $59 - $2,765 2%
Bcn Domestic $59 - $551 2%
Blue Benefit Administrators Of Massachusetts $59 - $551 2%
Blue Care Network $59 - $551 2%
Blue Distinction Transplant $59 - $551 2%
Blue Shield - Ca $59 - $2,765 2%
Blue Shield - Id (Regence) $59 - $2,765 2%
Blue Shield - Ny Highmark Northeastern $59 - $551 2%
Blue Shield - Ny Highmark Western $59 - $2,765 2%
Blue Shield - Pa (Highmark) $59 - $9,538 2%
Blue Shield - Wa (Regence) $59 - $2,765 2%
Health Choices $59 - $551 2%
Kaiser Domestic $59 - $551 2%
Pre-Employment $59 - $551 2%
Wc Domestic $59 - $551 2%
Oscar $64 - $6,349 2%
Geha $65 - $6,337 2%
UnitedHealthcare $65 - $6,337 2%
Aetna $79 - $3,733 2%
Homestead Health Plans Woods Center $84 - $6,878 3%
Group Pension Administrators $97 - $7,937 3%
Reedman Toll $97 - $7,937 3%
Coventry $102 - $955 3%
Health America $102 - $955 3%
Meritain $102 - $955 3%
Devon Health Services $176 - $2,196 5%
First Health $176 - $2,196 5%
Prime Health Services $185 - $2,318 6%
Three Rivers Provider Network $185 - $2,318 6%
Align Senior Care $264 - $3,598 8%
Ally Align Care Adv $264 - $396 8%
American Health Advantage Of Idaho $264 - $396 8%
American Health Plan $264 - $396 8%
Aurora Special Needs $264 - $396 8%
Blue Care Network Advantage $264 - $396 8%
Blue Shield - De (Highmark) Medciare Advantage $264 - $396 8%
Care Dimensions $264 - $396 8%
Care Improvement Plus $264 - $396 8%
Care Resources Pace $264 - $396 8%
Careplus Health Plans $264 - $396 8%
Cca - Zing Health $264 - $396 8%
Cca Senior Care Options $264 - $396 8%
Central Valley Medical Services Corp Pace $264 - $396 8%
Champion Health Plan Mcr Advantage $264 - $396 8%
Clear Spring Health $264 - $396 8%
Clover Health $264 - $396 8%
Commonwealth Care Alliance $264 - $396 8%
Community Pace At Home $264 - $396 8%
Eddy Senior Care-Pace $264 - $396 8%
Eddy Seniorcare Pace $264 - $396 8%
Elementcare $264 - $396 8%
Everence $264 - $396 8%
Gateway Health Plan $264 - $396 8%
Genesys Pace Of Genesee County $264 - $396 8%
Georgia Health Advantage $264 - $396 8%
Gold Advantage $264 - $396 8%
Gpa Croell Redi Mix $264 - $396 8%
Highmark Health Options Dual Plan $264 - $396 8%
Hope Select Pace $264 - $396 8%
Horizon Nj Total Care $264 - $396 8%
Hudson Headwaters Pace $264 - $396 8%
Huron Valley Pace $264 - $396 8%
Innovative Integrated Health Community Plans $264 - $396 8%
Iowa Health Advantage $264 - $396 8%
Johns Hopkins Advantage Md $264 - $396 8%
Lasso Healthcare Msa $264 - $396 8%
Life St Marys Pace $264 - $396 8%
Lifecircles Pace $264 - $396 8%
Longevity Health Plan $264 - $396 8%
Longevity Ipa Of Michigan Llc Health Plan Isnp $264 - $396 8%
Martins Point Generations Advantage $264 - $396 8%
Mass General Brigham Mcr Adv $264 - $396 8%
Medipak Advantage $264 - $396 8%
Mercy Life $264 - $396 8%
Mercyone Cedar Valley $264 - $396 8%
Meridian Complete $264 - $396 8%
Michigan Complete Health $264 - $396 8%
Nascentia Health Plus $264 - $396 8%
New Centry Health Careplus $264 - $396 8%
Osu Prime Care Advantage $264 - $396 8%
Pace Cny $264 - $396 8%
Pace Iowa Immanuel Pathways $264 - $396 8%
Pace Southeast $264 - $396 8%
Pace-Trinity Health $264 - $396 8%
Peak Pace Solutions $264 - $396 8%
Perennial Advantage $264 - $396 8%
Preferred Care Partners $264 - $396 8%
Presbyterian Senior Plan $264 - $396 8%
Provider Partners Health Plan Of Illinois $264 - $396 8%
Provider Partners Health Plan Of Indiana $264 - $396 8%
Pruitthealth Premier $264 - $396 8%
Reliance Community Care Partners Care Resources Pace $264 - $396 8%
Rx Allwin $264 - $396 8%
Rx Grane Grnmedd $264 - $396 8%
Rx Retiree Rx Care $264 - $396 8%
Scan Health Plan Mcr Ipa Meritage Oon $264 - $396 8%
Secure Horizons Ma Pffs $264 - $396 8%
Serenity Pace $264 - $396 8%
Siouxland Pace $264 - $396 8%
Solis Health Plans $264 - $396 8%
Sunnyview-Pace Finance Dept $264 - $396 8%
Texan Plus $264 - $396 8%
The Health Plan $264 - $396 8%
Thome Pace $264 - $396 8%
Todays Options $264 - $396 8%
Tribute Health Plans $264 - $396 8%
Um Health Advantage $264 - $396 8%
Union Health Service $264 - $396 8%
Welbe Health $264 - $396 8%
Wellmed $264 - $396 8%
Evercare $269 - $404 8%
Veterans Administration $270 - $404 8%
Champva $272 - $407 8%
Tricare $272 - $407 8%
Triwest Health Alliance $272 - $407 8%
Us Family Health Plan $272 - $407 8%
Veterans Eval Services $272 - $407 8%
Andrie Inc $305 - $457 9%
East Greenbush Central School District $305 - $457 9%
Genex Wc $305 - $457 9%
Healthsmart Workers Comp $305 - $457 9%
Jag Source $305 - $457 9%
New York State Insurance Fund $305 - $457 9%
Njm Insurance Group $305 - $457 9%
Rx Heatlhcomp $305 - $457 9%
Rx Restat $305 - $457 9%
Rx Saif Opdp Wc $305 - $457 9%
Rx Worker'S Comp $305 - $457 9%
Wc Accident Fund $305 - $457 9%
Wc Ace $305 - $457 9%
Wc Acs Federal Employees $305 - $457 9%
Wc Acuity $305 - $457 9%
Wc Advantage $305 - $457 9%
Wc Aegis $305 - $457 9%
Wc Aig $305 - $457 9%
Wc Aims $305 - $457 9%
Wc Alaska National Ins $305 - $457 9%
Wc Align Network $305 - $457 9%
Wc Allied $305 - $457 9%
Wc Am Trust N America $305 - $457 9%
Wc American Claims Mgmt $305 - $457 9%
Wc Amerisure $305 - $457 9%
Wc Amtrust $305 - $457 9%
Wc Asu Risk Mgt $305 - $457 9%
Wc Benetech $305 - $457 9%
Wc Berkley Admin $305 - $457 9%
Wc Broadspire $305 - $457 9%
Wc Broward County $305 - $457 9%
Wc Bunch & Associates $305 - $457 9%
Wc California State Comp Ins $305 - $457 9%
Wc California State Ins Fund $305 - $457 9%
Wc Capitol Area Health Consortium $305 - $457 9%
Wc Ccmsi $305 - $457 9%
Wc Chartis $305 - $457 9%
Wc Chubb $305 - $457 9%
Wc Cirma $305 - $457 9%
Wc City Of Albany $305 - $457 9%
Wc City Of Sioux City $305 - $457 9%
Wc Claims Mgmt Inc $305 - $457 9%
Wc Cna $305 - $457 9%
Wc Comp One Admin C/O Manageability $305 - $457 9%
Wc Compone Admin $305 - $457 9%
Wc Corvel $305 - $457 9%
Wc Ct Healthcare Trust $305 - $457 9%
Wc Donegal Insurance Group $305 - $457 9%
Wc Emc Insurance Company $305 - $457 9%
Wc Employee Mutual $305 - $457 9%
Wc Enablecomp $305 - $457 9%
Wc Encore Health Network $305 - $457 9%
Wc Erie $305 - $457 9%
Wc Esis $305 - $457 9%
Wc Evolutions $305 - $457 9%
Wc Fcci $305 - $457 9%
Wc Fed Ex $305 - $457 9%
Wc Federal Black Lung $305 - $457 9%
Wc Federated $305 - $457 9%
Wc Finley Occupational Health $305 - $457 9%
Wc First Agency/Occunet $305 - $457 9%
Wc Ford Motor $305 - $457 9%
Wc Fresno Unified Emp $305 - $457 9%
Wc Gallagher Bassett $305 - $457 9%
Wc General Motors $305 - $457 9%
Wc Generic $305 - $457 9%
Wc Genex Care For Ohio $305 - $457 9%
Wc Great West Casualty $305 - $457 9%
Wc Guarantee Insurance $305 - $457 9%
Wc Guard Insurance Company $305 - $457 9%
Wc Hab $305 - $457 9%
Wc Hartford $305 - $457 9%
Wc Hastings $305 - $457 9%
Wc Health Management $305 - $457 9%
Wc Heritage Summit $305 - $457 9%
Wc Hireright $305 - $457 9%
Wc Horizon $305 - $457 9%
Wc Icw Group $305 - $457 9%
Wc Idaho State Ins Fund $305 - $457 9%
Wc Intercare Insurance $305 - $457 9%
Wc Intermountain $305 - $457 9%
Wc Johns Eastern $305 - $457 9%
Wc Kemberton $305 - $457 9%
Wc Key Ins & Benefit Solutions $305 - $457 9%
Wc Liberty Mutual $305 - $457 9%
Wc Mac Risk Management $305 - $457 9%
Wc Massachusetts $305 - $457 9%
Wc Mdia $305 - $457 9%
Wc Meadowbrook Claim $305 - $457 9%
Wc Medical Administrators $305 - $457 9%
Wc Meijers $305 - $457 9%
Wc Memic $305 - $457 9%
Wc Mercy Workcare $305 - $457 9%
Wc Michigan $305 - $457 9%
Wc Michigan Millers Mutual $305 - $457 9%
Wc Mitchell Frankenmuth $305 - $457 9%
Wc Mra $305 - $457 9%
Wc Nationwide $305 - $457 9%
Wc Nca Comp $305 - $457 9%
Wc New York $305 - $457 9%
Wc New York Special Funds $305 - $457 9%
Wc North American Rishces $305 - $457 9%
Wc Northeast Health $305 - $457 9%
Wc Notre Dame $305 - $457 9%
Wc Novanet $305 - $457 9%
Wc O'Hara Corp $305 - $457 9%
Wc Occ Health Allen $305 - $457 9%
Wc Ohio Bureau $305 - $457 9%
Wc One Call Medical $305 - $457 9%
Wc Paradigm $305 - $457 9%
Wc Peerless $305 - $457 9%
Wc Pma $305 - $457 9%
Wc Praxis Health Network $305 - $457 9%
Wc Price Chopper $305 - $457 9%
Wc Procura Management $305 - $457 9%
Wc Qualcare $305 - $457 9%
Wc Quiktrip $305 - $457 9%
Wc Reny Company $305 - $457 9%
Wc Rev Claims $305 - $457 9%
Wc Risico $305 - $457 9%
Wc Rural Mutual $305 - $457 9%
Wc Saif Oregon $305 - $457 9%
Wc Secura $305 - $457 9%
Wc Sedgwick $305 - $457 9%
Wc Sentry $305 - $457 9%
Wc Sheakley Unicomp $305 - $457 9%
Wc Smile Lodge $305 - $457 9%
Wc Society $305 - $457 9%
Wc Srs $305 - $457 9%
Wc Taconic (Mro) $305 - $457 9%
Wc Taconic Farms $305 - $457 9%
Wc Travelers $305 - $457 9%
Wc Triad Group $305 - $457 9%
Wc Tristar $305 - $457 9%
Wc Troy Ny $305 - $457 9%
Wc Tyson $305 - $457 9%
Wc Unified Health Services $305 - $457 9%
Wc United Heartland $305 - $457 9%
Wc Us Dept Of Labor $305 - $457 9%
Wc Velocity $305 - $457 9%
Wc Walmart $305 - $457 9%
Wc West Bend $305 - $457 9%
Wc West Bend Mutual/Argent $305 - $457 9%
Wc Winnebago Industries $305 - $457 9%
Wc Yankee Trails $305 - $457 9%
Wc York Risk $305 - $457 9%
Wc Zenith $305 - $457 9%
Wc Zurich $305 - $457 9%
Multiplan $608 - $1,830 18%
Upmc Health Plan $5,733 171%
Webtpa $5,733 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals