Knee arthroscopy at The Queen's Medical Center West O'ahu. CPT 29881.
What The Queen's Medical Center West O'ahu publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$0.70cash price (self-pay)
$9,386list price
$258–$10,770range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $258 |
| United Healthcare | Medicaid | $1,550 |
| AlohaCare | Medicare | $3,846 |
| HMSA | Medicare | $3,846 |
| Kaiser | Medicare Advantage | $3,846 |
| Ohana Care | Medicare | $3,846 |
| United Healthcare | Medicare | $3,846 |
| Hawaii Community Health Alliance | Commercial | $4,444 |
| Hawaii Mainland Administrators | UFCW | $4,444 |
| Hawaii Western Management Group | Commercial | $4,699 |
| Hawaii Mainland Administrators | Non Trust Local | $5,075 |
| University Health Alliance | Commercial | $5,191 |
| Hawaii Laborers | Commercial | $5,869 |
| MDX Hawaii | Commercial | $6,107 |
| United Healthcare | All Payer | $6,107 |
| HMSA | Commercial | $6,992 |
| HMSA | PHC Commercial | $6,992 |
| Seven Corners | Commercial | $7,116 |
| Kaiser | Commercial | $10,770 |
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All common services at The Queen's Medical Center West O'ahu