Knee arthroscopy at Kenmore Mercy Hospital. CPT 29881.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,869cash price (self-pay)
$1,869list price
$112–$890range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Out Of State [309999] | Medicaid North Carolina [30999909] | $154 |
| Amerigroup [350102] | Chp BCBS Amg Mcd [35010201] | $154 |
| Amerigroup Medicaid [350002] | Amerigroup Medicaid [35000201] | $154 |
| Medicaid In State [300001] | Medicaid Episodic [30000103] | $154 |
| Medicaid Out Of State [309999] | Medicaid Maine [30999907] | $154 |
| BCBS Essential [100152] | Bc Essential Plan 200-250 [10015203] | $160 |
| Molina Medicaid [350107] | Affinity Molina Medicaid [35010705] | $216 |
| United Healthcare Medicare [450021] | UHC Care Improvement Plus [45002 | $224 |
| Medicare [400001] | Medicare Part A [40000102] | $246 |
| Medicare [400001] | Medicare Railroad [40000104] | $246 |
| Medicare Alternate Payor [888] | Medicare Part B Alternate [88801] | $246 |
| Medicare HMO Other [450117] | Centers Plan For Healthy Living [4501170 | $246 |
| Tricare [600100] | Tricare [60010002] | $246 |
| Independent Health Medicare [450122] | Mcr Passport Advantage [4501220 | $255 |
| BCBS Medicare [450116] | Senior Blue [45011606] | $256 |
| BCBS Medicare [450116] | Senior Blue Select [45011604] | $256 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Access [4504510 | $258 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Plus [45045101] | $258 |
| United Healthcare Surest [101154] | United Healthcare Surest [10115401 | $294 |
| United Healthcare [100154] | Empire Plan Of United Healthcare [1001540 | $295 |
| Independent Health [100165] | Iha Encompass [10016503] | $314 |
| Molina Essential [100167] | Molina Essential Plan 1 And 2 [10016701] | $347 |
| Molina Essential [100167] | Affinity Molina Essential Plan 3 And 4 [10 | $347 |
| Univera Healthcare [100169] | Univera Healthy NY [10016909] | $445 |
| Commercial - Other [100172] | Mutual Of Omaha [10017211] | $533 |
| Commercial - Other [100172] | Optum Behavioral Health [10017210] | $533 |
| Commercial - Other [100172] | Wausau Insurance [10017205] | $533 |
| Humana [100052] | Humana One [10005203] | $533 |
| Aetna [100001] | Aetna PPO [10000101] | $566 |
| Aetna Medicare HMO [450112] | Aetna Medicare HMO [45011201] | $566 |
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