CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Geisinger Jersey Shore Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $2,346
Cash Discount Price: $2,888
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Geisinger Jersey Shore Hospital is $2,346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,888. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.70x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$2,888

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,346

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: $2,888 (86%)

Insurance Median: $2,346 (70%)

Cash: $2,888 (86% of Medicare)

Ins. Median: $2,346 (70% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$544	16%
Amerihealth	$598	18%
Geisinger Family Plan	$598	18%
Blue Cross Blue Shield	$599 - $3,315	18%
Upmc For You	$639	19%
Health Partners	$652	20%
Upmc Chip	$679	20%
Geisinger Health Plan	$745 - $2,744	22%
Advantra	$1,298	39%
Aetna	$1,298 - $4,276	39%
American Progressive	$1,298	39%
Medicare (plans)	$1,298	39%
Humana	$1,311	39%
UnitedHealthcare	$1,654 - $2,482	49%
Cigna	$1,788 - $2,683	53%
Christian Healthcare Ministries	$1,863 - $2,794	56%
Medical Development International	$2,608 - $3,912	78%
Integrated Health Plan	$2,794 - $4,192	84%
Prime Health Services	$2,794 - $4,192	84%
Multiplan	$2,981 - $4,471	89%
Ambetter / Centene	$3,115	93%
Prison Health Services	$3,855	115%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,888.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Geisinger Jersey Shore Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.