Knee arthroscopy at Intermountain Health Cassia Regional Hospital. CPT 29881.
What Intermountain Health Cassia Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$95.00–$6,225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $577 |
| Aetna | Medicare Adv PPO | $577 |
| American Health | Medicare Adv UT HMO I-SNP | $577 |
| Blue Cross of Idaho | Medicare ID True Blue | $577 |
| Health Partners of Nevada | Medicare Advantage | $577 |
| Humana | Medicare Choice PPO | $577 |
| Molina | Medicare Choice Care HMO | $577 |
| Molina | Medicare Complete Care HMO SNP | $577 |
| Regence BCBS | Idaho UT Svc | $577 |
| SelectHealth | Medicare Advantage | $577 |
| St Lukes HP | Medicare Advantage | $577 |
| TriWest | Veterans Choice | $577 |
| UHC | Medicare Advantage | $577 |
| St Lukes HP | Commercial | $3,159 |
| Blue Cross of Idaho | Exchange | $4,097 |
| Blue Cross of Idaho | Traditional/PPO | $4,755 |
| BYU Athletics | Commercial | $6,225 |
| Deseret Mutual | All Other | $6,225 |
| Deseret Mutual | Select | $6,225 |
| PEHP | All Plans | $6,225 |
| PEHP | Capital Care | $6,225 |
| PEHP | Summit Exclusive | $6,225 |
| Regence | Blue Shield ID | $6,225 |
| UHC | Charter | $6,225 |
| UHC | Non-Options PPO | $6,225 |
| SelectHealth | All Plans | $6,225 |
| SelectHealth | Signature Individual ACA | $6,225 |
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All common services at Intermountain Health Cassia Regional Hospital