CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cabell Huntington Hospital, Inc

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $9,882
Cash Discount Price: $16,379
vs. Medicare Baseline: 2.96x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Cabell Huntington Hospital, Inc is $9,882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,379. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.96x the Medicare baseline. Located in 1340 Hal Greer Boulevard, Huntington, WV.

Cash / Self-Pay

$16,379

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,882

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: $16,379 (490%)

Insurance Median: $9,882 (296%)

Cash: $16,379 (490% of Medicare)

Ins. Median: $9,882 (296% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 296% of the Medicare baseline (a markup of 196%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
The Healthplan	$196 - $388	6%
Unicare	$196 - $388	6%
Aetna	$364 - $19,655	11%
Blue Cross Blue Shield	$364 - $17,433	11%
Humana	$364 - $2,970	11%
Peak Health	$364 - $18,563	11%
Peia	$364 - $3,602	11%
UnitedHealthcare	$364 - $20,660	11%
Caresource	$530 - $20,747	16%
Cigna	$9,936 - $19,873	297%
Firsthealth	$10,373 - $20,747	310%
Healthsmart	$10,373 - $20,747	310%
Phcs Multiplan	$10,373 - $20,747	310%
Zelis Network	$10,373 - $20,747	310%

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 $16,379.
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 Cabell Huntington Hospital, Inc 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.