CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lexington Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,206
about 1.3× the $3,343 Medicare rate · typically $3,294–$5,295
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,378
Above the fair price
about $1,172 over the fair price · 1.6× Medicare
Medicare pays $3,343 Fair price $4,206 This hospital $5,378

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $671 Priciest $5,378

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Knee arthroscopy with meniscus repair is about $4,206 (about 1.3× the $3,343 Medicare rate). Lexington Medical Center charges insurers about $5,378 — above the fair price. Located in West Columbia, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,206. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $7,907 237%
Blue Cross Blue Shieldmajor $3,163 - $18,367 95%
Aetnamajor $3,384 101%
Cignamajor $22,113 661%
Humanamajor $3,353 100%
Ambetter (Centene) $5,693 170%
Molina $3,795 - $11,101 114%
+ 2 smaller / regional plans $3,321 - $16,789

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2720 Sunset Blvd, West Columbia, SC 29169
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals