Knee arthroscopy at Henry Ford St John Hospital. CPT 29881.
What Henry Ford St John Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,189–$2,380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ppom | 934_ppom 20191001 | $1,189 |
| Meridian Health Plan | 1945_medicaid Replacement Meridian Health Outpa | $1,260 |
| Blue Care Network | 2054_sjmc Blue Cross Blue Shield Bcn 20220401 | $1,910 |
| Blue Cross PPO | 2059_sjmc Blue Cross Blue Shield PPO 20220401 | $1,910 |
| Blue Cross Traditional | 2058_sjmc Blue Cross Blue Shield Of Michigan | $1,910 |
| Phcs PPO Great West & Mailhandlers | 1458_phcs PPO Gr West & Mailhandl | $2,043 |
| Phcs POS | 1311_phcs POS 20201001 | $2,141 |
| Phcs PPO | 1457_phcs PPO 20201001 | $2,380 |
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