CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Guadalupe Regional Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,016

about 0.9× the $3,343 Medicare rate · typically $2,432–$3,664

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,084

About the fair price

about $68 over the fair price · 0.9× Medicare

Medicare pays $3,343 Fair price $3,016 This hospital $3,084 Cash price $5,010 Hospital's list price $10,020

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $433 Priciest $3,084

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

A fair price for a Knee arthroscopy with meniscus repair is about $3,016 (about 0.9× the $3,343 Medicare rate). Guadalupe Regional Medical Center charges insurers about $3,084, or about $5,010 in cash — about the fair price. Located in Seguin, TX.

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	$7,515	225%
Blue Cross Blue Shieldmajor	$3,148 - $4,127	94%
Aetnamajor	$482 - $8,517	14%
Cignamajor	$9,018	270%
Humanamajor	$8,517	255%
Clover Health	$482 - $3,084	14%
Healthcare Highways	$7,515	225%
Oscar Health	$482 - $3,084	14%
WellCare	$482 - $3,084	14%
+ 4 smaller / regional plans	$482 - $9,018

Government programs also on file: Military & VA.

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 5,010), 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 Guadalupe Regional Medical Center 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 Guadalupe Regional Medical Center

Compare: Knee arthroscopy with meniscus repair at other TX hospitals

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