Knee arthroscopy at Saint Marys Hospital. CPT 29881.
What Saint Marys Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$195cash price (self-pay)
$1,220list price
$26.31–$11,634range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Family Health Network | Medicaid | $186 |
| Wellcare Medicaid | Medicaid | $186 |
| Nextlevel Health | Medicaid | $186 |
| Lakeland Care Inc | Medicaid | $186 |
| Trilogy Medicaid | Medicaid | $186 |
| Hennepin Health | Medicaid | $186 |
| Icare Medicaid | Medicaid | $186 |
| United Healthcare Medicaid | Medicaid | $186 |
| Allwell Medicaid Advantage | Medicaid | $186 |
| Intercommunity Health Ohp | Medicaid | $186 |
| Rx Allwin | Medicare | $269 |
| Molina Medicare Advantage | Medicare | $269 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $269 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $269 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $269 |
| Community Pace At Home | Medicare | $269 |
| Medicare Alternate Payor | Medicare | $269 |
| Prominence Medicare | Medicare | $269 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $272 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $274 |
| Wellcare Medicare | Wellcare Medicare Advantage | $274 |
| Claimdoc | Claimdoc | $480 |
| Innovative Health Plan II | Innovative Health Plan | $480 |
| Centivo | Centivo | $631 |
| Aetna | Aetna | $691 |
| Wc Emc Insurance Company | Workers Comp | $1,183 |
| Wc Mac Risk Management | Workers Comp | $1,183 |
| Wc Tristar | Workers Comp | $1,183 |
| Wc Claims Mgmt Inc | Workers Comp | $1,183 |
| Wc City Of Sioux City | Workers Comp | $1,183 |
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