Knee arthroscopy at Good Samaritan University Hospital. CPT 29881.
What Good Samaritan University Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,197–$8,639range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Brighton | Create IDN | $1,950 |
| Brighton | Create Flex | $2,007 |
| Affinity Health Plan | CHP | $2,209 |
| Affinity Health Plan | HARP | $2,209 |
| Affinity Health Plan | MEDICAID | $2,209 |
| Centerlight Healthcare | MEDICAID | $2,209 |
| Elderplan Inc. | MEDICAID | $2,209 |
| Emblem Health | CHILD HEALTH PLUS | $2,209 |
| Emblem Health | EP 3&4 | $2,209 |
| Emblem Health | HARP | $2,209 |
| Emblem Health | MEDICAID | $2,209 |
| Emblem Health | EP 1&2 | $2,651 |
| Emblem Health | EP 200-250 | $2,651 |
| BCBS-NY Empire | Blue Access Small Group | $3,317 |
| Centivo | Commercial | $3,685 |
| BCBS-NY Empire | MA | $3,763 |
| Aetna | Medicare | $3,840 |
| Centerlight Healthcare | PACE | $3,840 |
| Centers Plan For Healthy Living | Medicare | $3,840 |
| Elderplan Inc. | MA | $3,840 |
| Emblem Health | Medicare HMO | $3,840 |
| Fidelis Care New York | DUAL | $3,840 |
| BCBS-NY Empire | Blue Access Large Group | $3,927 |
| Agewell New York | Medicare HMO | $3,974 |
| Brighton | LOCAL 3 MAGNA JIB | $4,230 |
| BCBS-NY Empire | Commercial | $4,364 |
| Aetna | Narrow Network | $4,683 |
| Brighton | Direct Plus | $4,866 |
| Affinity Health Plan | EP 1&2 | $4,971 |
| Affinity Health Plan | EP 3&4 | $4,971 |
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