CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Roper St Francis Hospital-Berkeley Inc

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,910

about 1.2× the $3,343 Medicare rate · typically $3,286–$5,848

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,245

Below the fair price — a good deal

about $665 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,910 This hospital $3,245 Cash price $13,691 Hospital's list price $22,819

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 $3,245

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Knee arthroscopy with meniscus repair is about $3,910 (about 1.2× the $3,343 Medicare rate). Roper St Francis Hospital-Berkeley Inc charges insurers about $3,245, or about $13,691 in cash — below the fair price — a good deal. Located in Summerville, SC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	$3,090 - $12,125	92%
Aetnamajor	$3,198 - $12,550	96%
Humanamajor	$3,245 - $12,731	97%

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 (about 13,691), 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 Roper St Francis Hospital-Berkeley Inc 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 Roper St Francis Hospital-Berkeley Inc

Compare: Knee arthroscopy with meniscus repair at other SC hospitals

Cannon Memorial Hospital · Pickens $671
Anmed Health · Anderson $671
Conway Medical Center · Conway $763
Aiken Regional Medical Center · Aiken $1,586
Piedmont Medical Center · Rock Hill $2,918
MUSC Medical Center · Charleston $3,104
Novant Health Hilton Head Medical Center · Hilton Head Island $3,165
East Cooper Medical Center · Mount Pleasant $3,165

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