Knee arthroscopy at Pelham Medical Center. CPT 29881.
What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,120–$19,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Managed Care Plan | $3,120 |
| Bcbs | Medicare Managed Care Plan | $3,143 |
| Devoted Health Plan | Medicare Managed Care Plan | $3,214 |
| Aetna | Medicare Managed Care Plan | $3,245 |
| Absolute Total Care | Medicare Managed Care Plan | $3,276 |
| Cigna | Healthspring Medicare Managed Care Plan | $3,338 |
| Bcbs | State Health Plan Other Commercial Plan | $3,614 |
| Bcbs | Blue Preferred Exchange | $5,079 |
| Bcbs | Bluechoice Exchange | $5,079 |
| Bcbs | Blue Preferred Ppo | $9,437 |
| Bcbs | Innovations Other Commercial Plan | $9,437 |
| Bcbs | Bluechoice Hmo | $12,910 |
| Unitedhealthcare | All Commercial Plans | $16,818 |
| Employer Health Network | All Commercial Plans | $18,667 |
| Cigna | All Commercial Plans | $19,838 |
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