CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Christus Spohn Hospital Alice

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,594

about 1.1× the $3,343 Medicare rate · typically $2,313–$4,474

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,284

About the fair price

about $310 under the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,594 This hospital $3,284

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 $3,284

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 $3,594 (about 1.1× the $3,343 Medicare rate). Christus Spohn Hospital Alice charges insurers about $3,284 — about the fair price. Located in Alice, 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	$519 - $7,338	16%
Blue Cross Blue Shieldmajor	$1,088 - $5,639	33%
Aetnamajor	$3,284 - $6,528	98%
Cignamajor	$4,489 - $5,491	134%
Humanamajor	$3,284 - $6,450	98%
Amerigroup	$3,546	106%
Cigna HealthSpring	$3,284	98%
Devoted Health	$3,546	106%
Healthcare Highways	$4,343	130%
Molina	$1,088 - $3,284	33%
WellCare	$3,284	98%
+ 12 smaller / regional plans	$1,088 - $4,597

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

Excludes 1 rental-network / third-party entry (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 Christus Spohn Hospital Alice 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 Christus Spohn Hospital Alice

Compare: Knee arthroscopy with meniscus repair at other TX hospitals

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