Knee arthroscopy at Memorial Hermann Imaging Center (Upper Kirby). CPT 29881.
What Memorial Hermann Imaging Center (Upper Kirby) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,287–$6,245range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $3,287 |
| Community Health | Medicare Managed Care Plan | $3,616 |
| Procare Advantage | Medicare Managed Care Plan | $3,780 |
| Community Health | Premier/Select Exchange | $4,930 |
| Aetna | Exchange | $5,095 |
| Community Health | Ultra Exchange | $5,259 |
| 90 Degrees | All Commercial Plans | $6,245 |
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All common services at Memorial Hermann Imaging Center (Upper Kirby)