CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Children's Hosp of Los Angeles
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $1,620
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Children's Hosp of Los Angeles is $1,620. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.48x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,620
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%)
Insurance Median: $1,620 (48%)
Ins. Median: $1,620 (48% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Caloptima | $771 | 23% |
| Altamed | $771 - $15,347 | 23% |
| Medi-Cal | $790 | 24% |
| Valley Presbyterian Hospital | $790 | 24% |
| Choc Health Alliance | $988 | 30% |
| Health Net | $988 | 30% |
| St Francis Medical Center | $1,027 - $1,525 | 31% |
| Watts Healthcare Mmc | $1,154 | 35% |
| El Proyecto Del Barrio | $1,154 | 35% |
| Global Care Medical Group | $1,154 | 35% |
| Health Care La IPA | $1,154 | 35% |
| Bella Vista Med Grp | $1,154 | 35% |
| Centinela Valley IPA | $1,154 | 35% |
| Premier Physicians Ntwk | $1,154 | 35% |
| Community Family Care IPA | $1,186 | 35% |
| Hollywood Presbyterian Medical Center | $1,186 | 35% |
| Heritage Provider Network | $1,265 - $17,858 | 38% |
| Blue Cross Blue Shield | $1,302 - $6,078 | 39% |
| La Care | $1,312 - $15,626 | 39% |
| Serra Community Med Clinic | $1,355 | 41% |
| Care 1St | $1,383 | 41% |
| White Memorial Medical Center | $1,383 | 41% |
| Adventist Health Physicians | $1,423 - $16,742 | 43% |
| Cal Care IPA | $1,438 | 43% |
| Serendib Healthways Mmc | $1,462 | 44% |
| Gold Coast Health Plan | $1,462 | 44% |
| Hispanic Physician IPA | $1,462 | 44% |
| Associated Hispanic Physicians IPA | $1,462 | 44% |
| Beverly Hospital | $1,470 | 44% |
| San Judas Med Grp | $1,478 | 44% |
| Los Angeles Medical Center IPA | $1,478 | 44% |
| Alhambra Hospital Medical Center | $1,486 | 44% |
| Accountable Health | $1,510 | 45% |
| Souther California Hosp System - Mmc | $1,516 | 45% |
| Cencal Health | $1,525 | 46% |
| Pacific Alliance Medical Center | $1,549 | 46% |
| Blue Shield | $1,564 - $5,994 | 47% |
| Crown City Medical Group | $1,581 | 47% |
| Angeles IPA | $1,581 | 47% |
| Point Comfort Underwriters | $1,581 | 47% |
| Seaside Health Plan | $1,581 | 47% |
| Employee Health Systems Med Grp | $1,581 | 47% |
| Regent Medical Group | $1,612 | 48% |
| Imperial Health Holdings Medical Group | $1,612 | 48% |
| Noble Community Medical Associates | $1,612 | 48% |
| Karing Physicians Medical Group | $1,612 | 48% |
| Avalon IPA | $1,620 | 48% |
| Primary Care and Pediatric IPA | $1,620 | 48% |
| Preferred IPA | $1,620 | 48% |
| Exceptional Care Medical Group | $1,620 - $21,299 | 48% |
| Mabuhay Medical Group | $1,620 | 48% |
| Inland Empire Health Plan | $1,628 | 49% |
| Molina | $1,668 | 50% |
| Family Care Specialists | $1,668 | 50% |
| Family Health Alliance Med Grp | $1,699 | 51% |
| Applecare Medical Group | $1,747 - $18,137 | 52% |
| Community Care IPA Mmc | $1,747 | 52% |
| Dignity Health | $1,755 | 52% |
| Allied Pacific IPA | $1,857 | 56% |
| Asian Community Medical Group | $1,881 | 56% |
| California Pacific Physicians Medical Group | $1,881 | 56% |
| Healthy New Life Medical Corp | $1,881 | 56% |
| Kern Family Health Plan | $1,992 | 60% |
| Superior Choice Medical Group | $2,142 | 64% |
| Southland San Gabriel Valley Medical Group | $2,158 | 65% |
| Champus | $4,082 | 122% |
| Cigna | $4,660 | 139% |
| UnitedHealthcare | $6,719 - $12,194 | 201% |
| Medicare (plans) | $9,132 | 273% |
| Accarent Health | $9,301 | 278% |
| Sierra Health and Life Insurance Company | $10,000 | 299% |
| Delta Health Systems | $11,564 | 346% |
| Incentive Health Network | $17,207 | 515% |
| Gemcare IPA | $17,858 | 534% |
| Managed Care Systems | $18,137 | 543% |
| Providence Health Network | $18,602 | 556% |
| Ventura County Health Plan | $23,718 | 710% |
| Staywell Insurance | $25,000 | 748% |
| Good Samaritan Medical Group | $25,578 | 765% |
| Access Medical Group | $25,857 | 773% |
| Seoul Medical Group | $28,554 | 854% |
| Southern Atlantic Medical Group Mmc | $30,992 | 927% |