Knee arthroscopy at Nicholas H Noyes Memorial Hospital. CPT 29881.
What Nicholas H Noyes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,821cash price (self-pay)
$6,327list price
$256–$9,713range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $275 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Highmark | $292 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Amerigrou | $343 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $414 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $439 |
| Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P | $441 |
| Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior | $453 |
| Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un | $453 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare | $453 |
| Highmark Blue Cross Blue Shield Of Western NY Medicare 1301 | Highmark | $474 |
| Molina Medicaid 1723, Molina Healthcare 5189 | Molina Medicaid 172301, | $502 |
| Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003 | $506 |
| Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1 | $507 |
| Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl | $535 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $539 |
| Lifetime Benefit Solutions 2200,Excellus Blue Cross Blue Shield 2201,O | $588 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601 | $634 |
| Aetna 2700 | Aetna Chickering 270001,Aetna 270002,Aetna Ur 270003,Aetn | $650 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601,Nova | $679 |
| Blue Cross Blue Shield Of Western NY 5143, Out Of Area Blue Cross Blue | $693 |
| Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv | $699 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $706 |
| Aetna 2700 | Aetna 270002 | $1,146 |
| Capital District Physicians Health Plan (Cdphp) 5149 | Capital Distric | $1,332 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $2,455 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $3,349 |
| Aetna Medicare 1300 | Aetna Medicare 130001 | $4,084 |
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $4,084 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $4,084 |
| Humana Medicare 1312 | Humana Medicare 131201 | $4,084 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.