Knee arthroscopy at Trinity Health Grand Rapids. CPT 29881.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$195cash price (self-pay)
$1,220list price
$10.31–$12,884range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Oos Nhi | Medicaid | $164 |
| Breast Grant-Connecticut | Medicaid | $164 |
| Medicaid - Wi | Medicaid | $164 |
| Medicaid - Wy | Medicaid | $164 |
| Pace Of Southwest Michigan | Medicaid | $164 |
| Maryland Breast & Cervical Program | Medicaid | $164 |
| Group Health Cooperative Medicaid | Medicaid | $164 |
| Icare Medicaid | Medicaid | $164 |
| Cmh Central Mi County | Medicaid | $164 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Medicaid | $164 |
| Medicaid Advantage Generic | Medicaid | $164 |
| Capital District Physicians Health Medicaid Advantage | Medicaid | $164 |
| United Healthcare Medicaid | Medicaid | $164 |
| Caresource Medicaid | Medicaid | $164 |
| Unity Medicaid | Medicaid | $164 |
| Amerihealth Caritas Medicaid | Medicaid | $164 |
| Community Health Choice | Medicaid | $164 |
| Medicaid - Va | Medicaid | $164 |
| Medicaid - Wa | Medicaid | $164 |
| Medicaid - Wv | Medicaid | $164 |
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $173 |
| Mclaren Health Medicaid | Mclaren Medicaid | $173 |
| Molina Medicaid | Molina Medicaid | $177 |
| Rx Allwin | Medicare | $246 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $246 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $246 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $246 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $246 |
| Hap Medicare Advantage | Hap Medicare Advantage | $246 |
| Molina Medicare Advantage | Molina Medicare Advantage | $246 |
Inpatient
$195cash price (self-pay)
$1,288list price
$164–$1,932range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Blue Plus Mo Medicaid | Medicaid | $164 |
| Healthy Blue Ne | Medicaid | $164 |
| Geisinger Medicaid Advantage | Medicaid | $164 |
| Positive Healthcare Partners Medicaid | Medicaid | $164 |
| Rx Allwin | Medicare | $246 |
| American Health Plan | Medicare | $246 |
| Rx Medicare Part B | Medicare | $246 |
| Positive Healthcare Partners Medicare | Medicare | $246 |
| Anthem Mycare Ohio | Medicare | $246 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $246 |
| 1199 National Benefit Fund | Multiplan | $338 |
| Wc Amerisure | Cofinity Workers Comp | $396 |
| Wc Amtrust | Cofinity Workers Comp | $396 |
| Wc Broadspire | Cofinity Workers Comp | $396 |
| Wc Guard Insurance Company | Cofinity Workers Comp | $396 |
| Wc Genex Care For Ohio | Cofinity Workers Comp | $396 |
| Cigna | Priority Health Cigna | $409 |
| Wc North American Rishces | Workers Comp | $417 |
| Wc Guarantee Insurance | Workers Comp | $417 |
| Wc Kemberton | Workers Comp | $417 |
| Wc Benetech | Workers Comp | $417 |
| Wc Corvel | Workers Comp | $417 |
| Wc Compone Admin | Workers Comp | $417 |
| Wc Fed Ex | Workers Comp | $417 |
| Wc Chartis | Workers Comp | $417 |
| Wc Mra | Workers Comp | $417 |
| Wc Occ Health Allen | Workers Comp | $417 |
| Wc Health Management | Workers Comp | $417 |
| Wc Medical Administrators | Workers Comp | $417 |
| Wc Hireright | Workers Comp | $417 |
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