CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Uva Health Culpeper Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $4,406
Cash Discount Price: $5,093
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Uva Health Culpeper Medical Center is $4,406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,093. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.32x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$5,093

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,406

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%)

Cash / Self-Pay: $5,093 (152%)

Insurance Median: $4,406 (132%)

Cash: $5,093 (152% of Medicare)

Ins. Median: $4,406 (132% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Champva [50002]	$542 - $1,281	16%
Tricare	$542 - $1,281	16%
Aetna	$1,538 - $3,419	46%
UnitedHealthcare	$2,072 - $24,734	62%
Geha [40009]	$2,303 - $17,321	69%
Multiplan Generic [40035]	$2,823 - $9,276	84%
Vhn Generic [40040]	$2,823 - $9,276	84%
Sentara Behavioral Health [40052]	$2,886 - $5,653	86%
Sentara [40021]	$2,886 - $5,653	86%
Blue Ridge Pace [10510]	$2,954	88%
Medicaid / KanCare	$2,954	88%
Cigna	$3,172 - $10,169	95%
Blue Cross Blue Shield	$3,283 - $9,804	98%
HMO Part B [10099]	$3,283	98%
Humana	$3,283 - $3,453	98%
Medicare (plans)	$3,283 - $3,385	98%
VA Ccn [99926]	$3,283 - $3,385	98%
VA Ccn [99927]	$3,283 - $3,385	98%
Veterans Administration [99910]	$3,385	101%
Beacon Health Options [40012]	$3,638 - $5,456	109%
Commercial Contracted Hb Only [40056]	$3,819 - $5,729	114%
Commercial Generic [40000]	$3,819 - $7,639	114%
Commercial Contracted Tpa [40055]	$4,365 - $7,639	131%
Carefirst [30007]	$4,446 - $5,036	133%
Umwa [40037]	$5,092 - $7,639	152%
Healthsmart [40013]	$5,456 - $8,185	163%
First Health Generic [40033]	$5,966 - $8,949	178%
Gateway Health Alliance [40034]	$6,184 - $9,276	185%
Onenet Workers Comp Generic [60010]	$6,373 - $9,560	191%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,093.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uva Health Culpeper Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.