Knee arthroscopy at Mercy Hospital of Folsom. CPT 29881.

What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$568–$17,074range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Commercial\|All Plans	$568
Hill Physicians \| Medicare\|All Plans	$570
United \| Medicaid\|< 21	$790
United \| Medicaid\|> 21	$790
Hill Physicians \| Medicaid\|All Plans	$869
Molina \| Medicaid\|All Plans	$1,486
BCBS - Anthem \| Medicaid\|All Plans	$1,502
California Health & Wellness \| Medicaid\|All Plans	$1,865
Health Net \| Medicaid\|All Plans	$1,865
Partnership Health Plan \| Medicaid\|All Plans	$3,399
BCBS - Anthem \| Medicare\|All Other Plans	$4,021
Humana \| Commercial\|All Plans	$4,264
Aetna \| Medicare\|All Plans	$4,264
Blue Shield CA \| Medicare\|HMO	$4,264
Blue Shield CA \| Medicare\|PPO	$4,264
Kaiser \| Medicare\|All Plans	$4,264
United \| Medicare\|All Plans	$4,264
BCBS - Anthem \| Medicare\|Imperial	$4,392
Blue Shield CA \| Commercial\|ACO Trio	$5,241
Blue Shield CA \| Commercial\|Exchange	$6,595
Blue Shield CA \| Commercial\|ACO Trio CalPers	$6,677
Blue Shield CA \| Commercial\|PPO Tandem	$9,653
BCBS - Anthem \| Commercial\|Connection EPO	$9,757
Blue Shield CA \| Commercial\|HMO	$9,783
Blue Shield CA \| Commercial\|CalPers	$10,413
Aetna \| Commercial\|All Other Plans	$11,438
Aetna \| Commercial\|HMO	$11,438
Aetna \| Commercial\|PPO	$11,438
Blue Shield CA \| Commercial\|All Other Plans	$11,494
BCBS - Anthem \| Commercial\|All Other Plans	$12,196

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