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Knee arthroscopy at Gifford Medical Center. CPT 29881.

What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$680cash price (self-pay)
$1,359list price
$515–$1,291range insurers pay
Insurance planNegotiated rate
Martins Point Health Care | Commercial$563
MVP Health Care of NY | Medicare Advantage$563
United Healthcare | Medicare Advantage$563
United Healthcare | VA CCN$563
Blue Cross Blue Shield of New Hampshire | Qualified Health Plan$566
Blue Cross Blue Shield of Vermont | Medicare Advantage$602
Blue Cross Blue Shield of New Hampshire | SHOP On Exchange$769
MVP Health Care of NY | Commercial$943
Harvard Pilgrim Health Care | HMO$972
Harvard Pilgrim Health Care | PPO$972
Cigna | Commercial$1,031
United Healthcare | Commercial$1,041
Blue Cross Blue Shield of Vermont | Vermont Health Plan$1,164
Blue Cross Blue Shield of Vermont | Managed Care$1,174
Blue Cross Blue Shield of Vermont | Commercial$1,202
Blue Cross Blue Shield of New Hampshire | Commercial$1,218
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$1,218
Multiplan | Commercial$1,264
Aetna of VT | Commercial$1,284

Inpatient

$680cash price (self-pay)
$1,359list price
$1,006–$1,291range insurers pay
Insurance planNegotiated rate
Blue Cross Blue Shield of New Hampshire | Commercial$1,006
Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange$1,006
Blue Cross Blue Shield of Vermont | Vermont Health Plan$1,087
Cigna | Commercial$1,087
Harvard Pilgrim Health Care | HMO$1,087
Harvard Pilgrim Health Care | PPO$1,087
Blue Cross Blue Shield of Vermont | Managed Care$1,142
Blue Cross Blue Shield of Vermont | Commercial$1,155
MVP Health Care of NY | Commercial$1,155
Multiplan | Commercial$1,264
Aetna of VT | Commercial$1,291
United Healthcare | Commercial$1,291
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All common services at Gifford Medical Center