Knee arthroscopy at Southern New Hampshire Medical Center. CPT 29881.
What Southern New Hampshire Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,575–$24,598range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $3,575 |
| Bcbs | Anthem Pathway Individual Other Commerical | $3,642 |
| Wellsense | Medicare Managed Care Plan | $3,718 |
| Cigna | Medicare Managed Care Plan | $3,753 |
| Harvard Pilgrim | Elevate Health - Individual Exchange | $4,617 |
| Harvard Pilgrim | Hmo/Pos | $4,617 |
| Ambetter | Exchange | $4,647 |
| Bcbs | Anthem Pathway Small Group Exchange | $5,691 |
| Tufts | Hmo/Pos | $6,785 |
| Tufts | Ppo | $8,312 |
| Harvard Pilgrim | Elevate Health Other Commercial Plan | $8,694 |
| Harvard Pilgrim | Ppo | $10,018 |
| Bcbs | Hpn Other Commercial Plan | $12,093 |
| Bcbs | Anthem Hmo/Pos | $13,289 |
| Aetna | All Commercial Plans | $14,929 |
| Bcbs | Anthem Ppo | $22,763 |
| Cigna | All Commercial Plans | $24,598 |
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All common services at Southern New Hampshire Medical Center