CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lake Chelan Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $5,489
Cash Discount Price: $7,054
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lake Chelan Community Hospital is $5,489. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,054. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.64x the Medicare baseline. Located in 110 S Apple Blossom Dr, Chelan, WA.

Cash / Self-Pay

$7,054

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,489

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: $7,054 (211%)

Insurance Median: $5,489 (164%)

Cash: $7,054 (211% of Medicare)

Ins. Median: $5,489 (164% 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
Amerigroup Op Only - All Plans	$322 - $5,831	10%
Coordinated Care Mcaid	$322 - $5,831	10%
UnitedHealthcare	$322 - $9,281	10%
Medicare (plans)	$520 - $5,489	16%
Molina - All Plans	$520 - $9,221	16%
Coordinated Care Comm - All Other Plans	$676 - $9,796	20%
Premera First - All Plans	$730 - $7,485	22%
First Choice - All Plans	$740 - $9,481	22%
Aetna	$3,716 - $8,982	111%
Corvel - All Plans	$3,922 - $9,481	117%
Multiplan - All Plans	$8,882	266%

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 $7,054.
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 Lake Chelan Community 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.