Knee arthroscopy at Saint Alphonsus Medical Center Baker City. CPT 29881.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$195cash price (self-pay)
$1,220list price
$3.96–$6,359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $246 |
| Security Health Medicaid | Medicaid | $542 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $542 |
| Childrens Medical Services Title 19 | Medicaid | $542 |
| Independent Care Medicaid | Medicaid | $542 |
| Highmark Wholecare Medicaid | Medicaid | $542 |
| Dscc | Medicaid | $542 |
| Health New England Medicaid Advantage | Medicaid | $542 |
| Massachusetts Behavioral Health Partnership | Medicaid | $542 |
| Capital District Physicians Health Medicaid Advantage | Medicaid | $542 |
| Blue Cross - Md (Carefirst) Medicaid Advantage | Medicaid | $542 |
| Blue Cross - Dc (Carefirst) Medicaid Advantage | Medicaid | $542 |
| Community Care Behavorial Health | Medicaid | $542 |
| Inland Empire Health Plan | Medicaid | $542 |
| Humana Medicaid | Medicaid | $542 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $542 |
| Dean Wi Badgercare | Medicaid | $542 |
| Molina Medicaid | Medicaid | $542 |
| Nextlevel Health | Medicaid | $542 |
| Managed Health Services - Indiana | Medicaid | $542 |
| Mercycare Medicaid | Medicaid | $542 |
| Nebraska Total Care | Medicaid | $542 |
| Unity Medicaid | Medicaid | $542 |
| Amerihealth Caritas Medicaid | Medicaid | $542 |
| Wellpoint Medicaid | Medicaid | $542 |
| Buckeye Health Plan Medicaid Advantage | Medicaid | $542 |
| Wi Womens Wellness | Medicaid | $542 |
| Wellcare Medicaid | Medicaid | $542 |
| Cigna Medicaid Advantage | Medicaid | $542 |
| Meridian Medicaid | Medicaid | $542 |
Inpatient
$195cash price (self-pay)
$1,220list price
$164–$1,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $246 |
| Maryland Breast & Cervical Program | Medicaid | $433 |
| Medicaid - NY Ssl | Medicaid | $433 |
| Screening For Life | Medicaid | $433 |
| Highmark Wholecare Medicaid | Medicaid | $433 |
| Dscc | Medicaid | $433 |
| Illinicare Health Medicaid Advantage | Medicaid | $433 |
| Cardinal Innovations Lme | Medicaid | $433 |
| Keystone First Chip | Medicaid | $433 |
| Medicaid - Nj | Medicaid | $433 |
| Medicaid - Nc | Medicaid | $433 |
| Medicaid - Co | Medicaid | $433 |
| Medicaid - Ar | Medicaid | $433 |
| Medicaid - Az | Medicaid | $433 |
| Humana Medicaid | Medicaid | $433 |
| Medicaid MA Qmb | Medicaid | $433 |
| Dph Tb Program | Medicaid | $433 |
| Childrens Comm Health Plan | Medicaid | $433 |
| Medicaid - NY | Medicaid | $433 |
| Medicaid - Ok | Medicaid | $433 |
| Medicaid - Oh | Medicaid | $433 |
| Medicaid - Nd | Medicaid | $433 |
| Medicaid - TX | Medicaid | $433 |
| Medicaid - De | Medicaid | $433 |
| Medicaid - Ct | Medicaid | $433 |
| Cencal Health Plan | Medicaid | $433 |
| La Care Health Plan | Medicaid | $433 |
| Dean Health Medicaid | Medicaid | $433 |
| Community Care Medicaid | Medicaid | $433 |
| Lakeland Care Inc | Medicaid | $433 |
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All common services at Saint Alphonsus Medical Center Baker City