Knee arthroscopy at Trinity Health Livonia Hospital. CPT 29881.
What Trinity Health Livonia Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$299cash price (self-pay)
—list price
$4.97–$7,339range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $211 |
| Rx Allwin | Medicare | $264 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $264 |
| Molina Medicare Advantage | Molina Medicare Advantage | $264 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $264 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $264 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $264 |
| Hap Medicare Advantage | Hap Medicare Advantage | $264 |
| Anthem Mycare Ohio | Medicare | $264 |
| Champion Health Plan Mcr Advantage | Medicare | $264 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $264 |
| Highmark Health Options Dual Plan | Medicare | $264 |
| Wellsense Health Plan Medicare Advantage | Medicare | $264 |
| Molina Medicaid | Molina Medicaid | $269 |
| Champva | Tricare | $278 |
| Tricare | Tricare | $278 |
| Us Family Health Plan | Tricare | $278 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $304 |
| Wellpath | Wellpath | $364 |
| Wc Sedgwick | Cofinity Workers Comp | $396 |
| Wc Aig | Cofinity Workers Comp | $396 |
| Wc Travelers | Cofinity Workers Comp | $396 |
| Wc Allied | Cofinity Workers Comp | $396 |
| Wc Bunch & Associates | Cofinity Workers Comp | $396 |
| Wc Broadspire | Cofinity Workers Comp | $396 |
| Wc Amtrust | Cofinity Workers Comp | $396 |
| Wc Employee Mutual | Workers Comp | $417 |
| Rx Restat | Workers Comp | $417 |
| Wc Rev Claims | Workers Comp | $417 |
| Rx Heatlhcomp | Workers Comp | $417 |
Inpatient
$195cash price (self-pay)
$1,220list price
$10.31–$1,830range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $177 |
| Robert F Sing Program | Medicaid | $177 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | Medicaid | $177 |
| Broward County Dept Of Health | Medicaid | $177 |
| Cmh Kalamazoo | Medicaid | $177 |
| Cmh Macomb | Medicaid | $177 |
| Rx Allwin | Medicare | $264 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $264 |
| Connecticare Vip Medicare | Medicare | $264 |
| Longevity Health Plan | Medicare | $264 |
| Pace Iowa Immanuel Pathways | Medicare | $264 |
| Provider Partners Health Plan Of Illinois | Medicare | $264 |
| Selecthealth Medicare Advantage | Medicare | $264 |
| Medica Medicare Advantage | Medicare | $264 |
| International Benefit Administrators | Multiplan | $364 |
| Wc Walmart | Cofinity Workers Comp | $396 |
| Wc Risico | Workers Comp | $417 |
| Wc Taconic (Mro) | Workers Comp | $417 |
| Wc Triad Group | Workers Comp | $417 |
| Wc Fed Ex | Workers Comp | $417 |
| Wc Health Management | Workers Comp | $417 |
| Wc Am Trust N America | Workers Comp | $417 |
| Wc California State Ins Fund | Workers Comp | $417 |
| Wc California State Comp Ins | Workers Comp | $417 |
| Wc Hab | Workers Comp | $417 |
| Wc Fresno Unified Emp | Workers Comp | $417 |
| Muskegon County Jail | Vitalcore Health | $418 |
| Blue Cross - Mn | BCBS Trust Trad | $487 |
| Blue Cross - Ak (Premera) | BCBS Trust Trad | $487 |
| Blue Cross - Ar | BCBS Trust Trad | $487 |
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