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Knee arthroscopy at Henry Ford Rochester Hospital. CPT 29881.

What Henry Ford Rochester Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$5,019–$5,385range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield Hpn 20250701 | 1111_blue Cross Blue Shield Hpn $5,019
Blue Care Network | 1112_blue Cross Blue Shield Bcn 20250701$5,385
Blue Cross PPO | 1113_blue Cross Blue Shield PPO 20250701$5,385
Blue Cross Trad | 1114_blue Cross Blue Shield Trad 20250701$5,385
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All common services at Henry Ford Rochester Hospital