CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Baylor Scott and White Medical Center Lake Pointe

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,511

about 1.1× the $3,343 Medicare rate · typically $3,425–$4,380

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,715

About the fair price

about $204 over the fair price · 1.1× Medicare

Medicare pays $3,343 Fair price $3,511 This hospital $3,715

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 $3,715

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 $3,511 (about 1.1× the $3,343 Medicare rate). Baylor Scott and White Medical Center Lake Pointe charges insurers about $3,715 — about the fair price. Located in Rowlett, 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	$3,404 - $5,736	102%
Blue Cross Blue Shieldmajor	$1,088 - $6,816	33%
Aetnamajor	$13,821	413%
Cignamajor	$6,235 - $7,336	187%
Humanamajor	$2,960	89%
Ambetter (Centene)	$6,128	183%
Baylor Scott & White	$2,812 - $4,884	84%
Cigna HealthSpring	$3,108	93%
Molina	$3,108	93%
+ 3 smaller / regional plans	$3,108 - $7,950

Government programs also on file: Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Baylor Scott and White Medical Center Lake Pointe 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 Baylor Scott and White Medical Center Lake Pointe

Compare: Knee arthroscopy with meniscus repair at other TX hospitals

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