Knee arthroscopy at Holy Cross Hospital. CPT 29881.
What Holy Cross 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
$28.35–$20,380range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mo Home State Health Plan | Medicaid | $212 |
| Blue Plus Mo Medicaid | Medicaid | $212 |
| Cigna Medicaid Advantage | Medicaid | $212 |
| Nextlevel Health | Medicaid | $212 |
| Meridian Medicaid | Medicaid | $212 |
| Geisinger Medicaid Advantage | Medicaid | $212 |
| Healthy Blue Ne | Medicaid | $212 |
| Family Health Network | Medicaid | $212 |
| Healthy Blue Plus Mo Medicaid | Medicaid | $212 |
| Paramount Advantage | Medicaid | $212 |
| Iowa Total Care | Medicaid | $212 |
| Wellcare Medicaid | Sunshine State Health Medicaid | $219 |
| Molina Medicaid | Molina Medicaid | $234 |
| Molina Medicare Advantage | Medicare | $273 |
| Humana Medicare Advantage | Humana Medicare Advantage | $273 |
| Rx Allwin | Medicare | $273 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $273 |
| Avmed Medicare | Avmed Medicare Advantage | $273 |
| Careplus Health Plans | Careplus Medicare Advantage | $273 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $273 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $273 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $273 |
| Tristate Benefit Solutions Medicare Advantage | Medicare | $273 |
| Blue Cross - Mn Medicare Advantage | Medicare | $273 |
| Medicare | Medicare | $273 |
| Imperial Health Plan Medicare Advantage | Medicare | $273 |
| Blue Shield - Pa (Highmark) Medicare Advantage | Medicare | $273 |
| Tribute Health Plans | Medicare | $273 |
| Ucare Medicare | Medicare | $273 |
| Caresource Medicare | Medicare | $273 |
Inpatient
$195cash price (self-pay)
$1,220list price
$177–$1,989range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Healthnet | Medicaid | $212 |
| Nascentia Health Options | Medicaid | $212 |
| Hap Medicaid | Medicaid | $212 |
| Cmh Cass County | Medicaid | $212 |
| Cmh Central Mi County | Medicaid | $212 |
| Cmh Clinton-Eaton-Ingham County | Medicaid | $212 |
| Cmh Allegan County | Medicaid | $212 |
| Keystone First | Medicaid | $212 |
| Rx Medicaid | Medicaid | $212 |
| Molina Medicare Advantage | Medicare | $273 |
| Humana Medicare Advantage | Humana Medicare Advantage | $273 |
| Rx Allwin | Medicare | $273 |
| Johns Hopkins Advantage Md | Medicare | $273 |
| Medipak Advantage | Medicare | $273 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $273 |
| Blue Cross - Ok Medicare Advantage | Medicare | $273 |
| Sunnyview-Pace Finance Dept | Medicare | $273 |
| Georgia Health Advantage | Medicare | $273 |
| Priority Health Medicare Advantage | Medicare | $273 |
| Mvp Medicare Advantage | Medicare | $273 |
| Blue Cross - Ms Medicare Advantage | Medicare | $273 |
| Elementcare | Medicare | $273 |
| Mclaren Health Medicare Advantage | Medicare | $273 |
| Blue Cross - Wv (Highmark) Medicare Advantage | Medicare | $273 |
| Community Care Plan | Memorial Integrated Health | $574 |
| Memorial Integrated Health | Memorial Integrated Health | $574 |
| Ambetter | Ambetter | $577 |
| Wc California State Comp Ins | Workers Comp | $614 |
| Wc Fresno Unified Emp | Workers Comp | $614 |
| Wc Acuity | Workers Comp | $614 |
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