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Knee arthroscopy at HSS West Side Outpatient Center. CPT 29881.

What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$12,000cash price (self-pay)
$12,000list price
$370–$4,577range insurers pay
Insurance planNegotiated rate
Fidelis | Medicaid Managed Care$448
Fidelis | Essential Plans 3,4$448
Metro Plus | Essential Plans 3,4$484
Metro Plus | Medicaid Managed Care$484
Metro Plus | Essential Plans 1,2$504
Fidelis | Essential Plans 1,2$537
Emblem | Medicare Managed Care$597
UHC | Medicare Managed Care$597
Anthem NY | Exchange$2,327
Horizon | Commercial$2,703
Anthem NY | Commercial$2,738
Emblem | Commercial$3,200
Emblem | City of NY Plans$3,200
Aetna | Commercial$3,489
CIGNA | Commercial$4,030
UHC | Commercial$4,571
NYSHIP | Commercial$4,577
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All common services at HSS West Side Outpatient Center