CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Uva Health Haymarket Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,385
Cash Discount Price: $2,747
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Uva Health Haymarket Medical Center is $3,385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,747. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.01x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.

Cash / Self-Pay

$2,747

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,385

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: $2,747 (82%)

Insurance Median: $3,385 (101%)

Cash: $2,747 (82% of Medicare)

Ins. Median: $3,385 (101% 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]	$1,281	38%
Tricare	$1,281	38%
UnitedHealthcare	$2,072 - $10,468	62%
Geha [40009]	$2,303 - $4,510	69%
Multiplan Generic [40035]	$2,823 - $5,529	84%
Vhn Generic [40040]	$2,823 - $5,529	84%
Sentara Behavioral Health [40052]	$2,886 - $5,653	86%
Sentara [40021]	$2,886 - $5,653	86%
Cigna	$2,971 - $5,820	89%
Blue Cross Blue Shield	$3,385 - $10,468	101%
Medicare (plans)	$3,385	101%
VA Ccn [99926]	$3,385	101%
VA Ccn [99927]	$3,385	101%
Veterans Administration [99910]	$3,385	101%
Aetna	$3,419	102%
Humana	$3,453	103%
Carefirst [30007]	$4,446 - $5,036	133%

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 $2,747.
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 Haymarket 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.