CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Spotsylvania Regional Medical Center

Billing Code: 29881 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,733

about 2.0× the $3,343 Medicare rate · typically $3,430–$8,435

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,738

About the fair price

about $1,005 over the fair price · 2.3× Medicare

Medicare pays $3,343 Fair price $6,733 This hospital $7,738

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $3,192 Priciest $7,738

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

A fair price for a Knee arthroscopy with meniscus repair is about $6,733 (about 2.0× the $3,343 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $7,738 — about the fair price. Located in Fredericksburg, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$7,414	222%
Blue Cross Blue Shieldmajor	$4,268 - $5,871	128%
Aetnamajor	$8,900	266%
Cignamajor	$12,194 - $14,787	365%
Bright Health	$4,278	128%
Sentara	$8,061	241%
+ 1 smaller / regional plan	$4,950

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 Spotsylvania 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 Spotsylvania Regional Medical Center

Compare: Knee arthroscopy with meniscus repair at other VA hospitals

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