Knee arthroscopy at Henry Ford Jackson Hospital. CPT 29881.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$691cash price (self-pay)
$1,780list price
$329–$7,533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicaid HMO-FAC | $345 |
| Blue Cross | Blue Cross Complete-Adult-FAC | $345 |
| Humana Military | Tricare | $496 |
| Aetna | Medicare Advantage/Dual Products-FAC | $501 |
| Aetna | Medicare Advantage/Dual Products-NONFAC | $501 |
| Blue Cross | Medicare Plus Blue-NONFAC | $501 |
| HAP | Commercial | $563 |
| Blue Cross | Blue Cross Complete-Adult-NONFAC | $712 |
| Aetna | All Products-FAC | $899 |
| Aetna | All Products-NONFAC | $899 |
| Blue Cross | BCN Commercial-FAC | $974 |
| Blue Cross | Blue Cross Complete | $1,748 |
| HAP | HAP Caresource Medicaid | $1,748 |
| McLaren | Medicaid HMO | $1,748 |
| Meridian | Medicaid HMO | $1,748 |
| Priority Health | Medicaid HMO | $1,748 |
| Aetna Better Health | Medicaid HMO | $1,836 |
| Molina | Medicaid HMO | $1,850 |
| Veterans Evaluation Services | All Products | $2,723 |
| Aetna | Medicare Advantage | $3,275 |
| Blue Cross | Medicare Plus Blue | $3,275 |
| Blue Cross | BCN Advantage | $3,275 |
| Cascade Thome Pace | All Products | $3,275 |
| Humana | Medicare Advantage | $3,275 |
| McLaren | Medicare Advantage | $3,275 |
| Molina | Dual MI Coordinated Health | $3,275 |
| Priority Health | Dual Premier_HIDE-SNP | $3,275 |
| Priority Health | Medicare Advantage | $3,275 |
| United Healthcare | VACCN | $3,275 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3,275 |
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