Knee arthroscopy at Saint Alphonsus Regional Medical Center. CPT 29881.
What Saint Alphonsus Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$195cash price (self-pay)
$1,220list price
$13.27–$21,850range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cmh Allegan County | Medicaid | $211 |
| Medicaid - Ak | Medicaid | $211 |
| Cmh Ionia County | Medicaid | $211 |
| Cmh Clinton-Eaton-Ingham County | Medicaid | $211 |
| Cmh Cass County | Medicaid | $211 |
| Cmh Central Mi County | Medicaid | $211 |
| Cmh Berrien County | Medicaid | $211 |
| Medicaid - Al | Medicaid | $211 |
| Cmh West Mi County | Medicaid | $211 |
| Cmh Wayne County/Carelink | Medicaid | $211 |
| Rx Allwin | Medicare | $231 |
| Horizon Nj Total Care | Medicare | $231 |
| Amerihealth Medicare | Medicare | $231 |
| Carelon Health Medicare Advantage | Medicare | $231 |
| Blue Cross - Nc Medicare Advantage | Medicare | $231 |
| Texan Plus | Medicare | $231 |
| Freedom Health Medicare Advantage | Medicare | $231 |
| Essence Medicare HMO | Medicare | $231 |
| Carecentrix Medicare Advantage | Medicare | $231 |
| Tribute Health Plans | Medicare | $231 |
| Blue Cross - NY (Excellus) Medicare Advantage | Medicare | $231 |
| Total Comm Care Medicare Repl | Medicare | $231 |
| Harvard Pilgrim Stride Medicare | Medicare | $231 |
| Medstar Medicare Advantage | Medicare | $231 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $243 |
| American Health Advantage Of Idaho | American Health Medicare Advantag | $243 |
| Molina Medicare Advantage | Molina Medicare Advantage | $248 |
| Pacificsource Health Plans Medicare Advantage | Pacificsource Medicare | $257 |
| Webtpa | Pacific Steel | $425 |
| Cigna | Cigna | $449 |
Inpatient
$195cash price (self-pay)
$1,220list price
$164–$3,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wi Womens Wellness | Medicaid | $211 |
| Ghc Scw Wi Badgercare | Medicaid | $211 |
| Medicaid - NY Ssl | Medicaid | $211 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid | $211 |
| Dean Health Medicaid | Medicaid | $211 |
| Community Care Medicaid | Medicaid | $211 |
| Medicaid MA Qmb | Medicaid | $211 |
| Care Oregon Ohp | Medicaid | $211 |
| Care Wisconsin Medicaid | Medicaid | $211 |
| Maryland Breast & Cervical Program | Medicaid | $211 |
| Keystone First Chip | Medicaid | $211 |
| Blue Cross - IL Medicaid Advantage | Medicaid | $211 |
| Group Health Cooperative Medicaid | Medicaid | $211 |
| Wellpoint Medicaid | Medicaid | $211 |
| Dph Tb Program | Medicaid | $211 |
| United Healthcare Medicaid | Medicaid | $211 |
| Rx Allwin | Medicare | $231 |
| Tufts Medicare Advantage | Medicare | $231 |
| Univera Healthcare Medicare Advantage | Medicare | $231 |
| Healthnet Medicare Advantage | Medicare | $231 |
| Health New England Medicare Advantage | Medicare | $231 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $231 |
| Allwell Pa Health & Wellness Medicare Advantage | Medicare | $231 |
| Core Care Select Medicare Advantage | Medicare | $231 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $231 |
| Emblem Health Medicare Advantage | Medicare | $231 |
| Blue Shield - NY Highmark Western Medicare Advantage | Medicare | $231 |
| Devoted Health Medicare Advantage | Medicare | $231 |
| Michigan Complete Health | Medicare | $231 |
| Wellsense Health Plan Medicare Advantage | Medicare | $231 |
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All common services at Saint Alphonsus Regional Medical Center