CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: UPMC Wellsboro

Billing Code: 29881 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,087

about 0.3× the $3,343 Medicare rate · typically $606–$2,711

modeled estimate · not a bill or quote

What this hospital charges insurers

$606

Below the fair price — a good deal

about $481 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $1,087 This hospital $606

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Lowest price of the 9 PA hospitals we have prices for — a strong deal.

Cheapest $606 Priciest $785

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 $1,087 (about 0.3× the $3,343 Medicare rate). UPMC Wellsboro charges insurers about $606 — below the fair price — a good deal. Located in Wellsboro, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$1,193	36%
Blue Cross Blue Shieldmajor	$606	18%
AmeriHealth	$598	18%
Geisinger	$598	18%
HealthPartners	$820	25%
UPMC Health Plan	$598 - $1,862	18%
+ 1 smaller / regional plan	$926

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 Wellsboro 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 Wellsboro

Compare: Knee arthroscopy with meniscus repair at other PA hospitals

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