CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Copley Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $573
Cash Discount Price: $1,062
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Copley Hospital is $573. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,062. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 528 Washington Highway, Morrisville, VT.

Cash / Self-Pay

$1,062

Average discount available for prompt cash payment at this facility.

Insurance Median

$573

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: $1,062 (32%)

Insurance Median: $573 (17%)

Cash: $1,062 (32% of Medicare)

Ins. Median: $573 (17% 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
Harvard Pilgrim	$515 - $1,168	15%
Medicare (plans)	$515 - $571	15%
UnitedHealthcare	$515 - $1,261	15%
Mvp	$571 - $1,035	17%
Blue Cross Blue Shield	$576 - $6,622	17%
Cigna	$975 - $1,261	29%

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 $1,062.
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 Copley Hospital 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.