CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Pullman Regional Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $872
Cash Discount Price: $1,856
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Pullman Regional Hospital is $872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,856. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.26x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.

Cash / Self-Pay

$1,856

Average discount available for prompt cash payment at this facility.

Insurance Median

$872

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: $1,856 (56%)

Insurance Median: $872 (26%)

Cash: $1,856 (56% of Medicare)

Ins. Median: $872 (26% 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
Community Health Plan Mcaid-All Plans	$322	10%
Medicaid / KanCare	$322	10%
Molina Hlthcare Mcaid-All Plans	$322	10%
Wellcare Mcaid -All Other Plans	$322	10%
Wellpoint Mcaid - All Plans	$322	10%
Community Care Ntwrk Mcare-All Plans	$520	16%
Kaiser Mcare Advan	$520	16%
Sterling Mcr Adv-All Plans	$520	16%
Triwest - All Plans	$520	16%
Wellcare Mcr Adv	$567	17%
Blue Cross Blue Shield	$598 - $874	18%
Humana	$598	18%
Aetna	$701	21%
Premera First - All Plans	$730	22%
First Choice - All Other Plans	$872	26%
First Choice Admin	$872	26%
Idaho Dshs-All Plans	$895	27%
Kaiser - All Other Plans	$1,002	30%
Admin Wsu Student-All Plans	$1,856	56%
Multiplan - All Plans	$1,856	56%
Asuris Nw Hlth-All Plans	$1,966	59%
Cigna	$1,966	59%
Focus Hlthcare - All Plans	$1,966	59%
Northwest One - All Plans	$1,966	59%
UnitedHealthcare	$1,966	59%
Great West Hlth-All Plans	$2,075	62%
Integrated Hp - All Plans	$2,075	62%
Spokane Phco - All Plans	$2,075	62%
Provider Network Of America-All Plans	$2,140	64%

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 $1,856.
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 Pullman Regional 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.