CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,225
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Intermountain Health Heber Valley Hospital is $6,225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.86x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,225

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Insurance Median: $6,225 (186%)
Ins. Median: $6,225 (186% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Triwest $364 - $791 11%
Aetna $5,872 176%
Awh Connected $6,225 186%
Blue Cross Blue Shield $6,225 186%
Byu Athletics $6,225 186%
Campbell Scientific $6,225 186%
Cigna $6,225 186%
Deseret Mutual $6,225 186%
Emi $6,225 186%
Emi Health $6,225 186%
Franklin County $6,225 186%
Ifit $6,225 186%
Intermountain Caregiver Plan $6,225 186%
Juniper Systems $6,225 186%
Lw Miller $6,225 186%
Managed Care Admin $6,225 186%
Motivhealth $6,225 186%
Pehp $6,225 186%
Prodegi Corp Benefit $6,225 186%
Selecthealth $6,225 186%
Tanner Llc $6,225 186%
UnitedHealthcare $6,225 186%
Utah Tech $6,225 186%
Wise Network $6,225 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals