CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Olympic Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,315
Cash Discount Price: $4,409
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Olympic Medical Center is $3,315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,409. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.99x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$4,409

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,315

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: $4,409 (132%)

Insurance Median: $3,315 (99%)

Cash: $4,409 (132% of Medicare)

Ins. Median: $3,315 (99% 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
Regence Uniform	$653 - $5,509	20%
Community Health Plan Of Washington	$934 - $7,884	28%
Ambetter / Centene	$1,051 - $9,362	31%
Cigna	$1,138 - $9,599	34%
Aetna	$1,168 - $9,855	35%
First Choice Network	$1,168 - $9,855	35%
Gmr/Caldera Care	$1,168 - $9,855	35%
Hma	$1,168 - $9,855	35%
Lifewise	$1,168 - $9,855	35%
Premera	$1,168 - $9,855	35%
Regence	$1,168 - $9,855	35%
UnitedHealthcare	$1,168 - $9,855	35%
Wellcare	$2,255	67%
Coordinated Care	$3,238	97%
Molina	$3,238 - $4,163	97%
Wellpoint (Formerly Amerigroup)	$3,392	101%

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 $4,409.
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 Olympic 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.