Knee arthroscopy at Mercy Hospital Ada. CPT 29881.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$8,711cash price (self-pay)
$13,401list price
$487–$7,291range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross And Blue Shield [20053] | Hb Ada BCBS Of Ok Nativeblue Mcr | $487 |
| Aetna Medicaid Contracted [320009] | Hb Ada Ok Medicaid (Soonercare) | $2,889 |
| Medicaid [20240] | Hb Ada Ok Medicaid (Soonercare) | $2,889 |
| Humana Medicaid Contracted [320486] | Hb Ada Ok Medicaid (Soonercare) | $2,889 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ada Ok Medi | $2,889 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ada | $3,240 |
| Provider Partners Health Plans Contracted [320450] | Hb Ada Medicare/M | $3,240 |
| BCBS Medicare Advantage [20047] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Mental Health Network Medicare [20250] | Hb Ada Medicare/Mgd Medicare | $3,240 |
| Mercy Hospice Okc [20252] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Independent Health [20197] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Horizons Medicare [20190] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Medicare [20244] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Tricare [20380] | Hb Ada Tricare | $3,240 |
| Windsor Medicare [20424] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Cross Timbers Hospice [20098] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Generic Medicare Managed Care [20137] | Hb Ada Medicare/Mgd Medicare 1 | $3,240 |
| Health First Health Plans Medicare [20170] | Hb Ada Medicare/Mgd Medic | $3,240 |
| Elara Caring Aspire Hospice [20433] | Hb Ada Medicare/Mgd Medicare 100 | $3,240 |
| Halo Hcr Inc Hospice [20432] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Kindful Hospice [20434] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Medical Associates Health [20444] | Hb Ada Medicare/Mgd Medicare 100% | $3,240 |
| Aetna Medicare Advantage Contracted [320010] | Hb Ada Medicare/Mgd Med | $3,240 |
| BCBS Medicare Advantage Contracted [320047] | Hb Ada Medicare/Mgd Medi | $3,240 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ada Medicare/Mgd Medi | $3,240 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ada Medicare/Mgd | $3,240 |
| Medica Medicare Advantage Contracted [320477] | Hb Ada Medica Medicare | $3,303 |
| Medica Medicare Advantage [20477] | Hb Ada Medica Medicare New 031523 | $3,303 |
| Globalhealth Contracted [320145] | Hb Ada Global Health Mcr 102% | $3,306 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ada Cigna Mcr | $3,339 |
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