Knee arthroscopy at St. Luke's Boise Standard Charges. CPT 29881.
What St. Luke's Boise Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$6,877cash price (self-pay)
$10,316list price
$1,413–$19,614range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Tv Va Ccn | $2,473 |
| Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $2,473 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $2,473 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $2,473 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource HMO PPO | $2,473 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $2,473 |
| Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $2,473 |
| Veterans Affairs [1056] | Hb Tv Va Ccn | $2,473 |
| Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $2,498 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $2,523 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $2,523 |
| Medicare Advantage UHC [1013] | Hb Tv Aarp Med Adv | $2,597 |
| Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $2,720 |
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $6,318 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $6,318 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $6,318 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $6,318 |
| Commercial [1028] | Hb Tv Slhp Select Health | $6,318 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $6,318 |
| Commercial [1028] | Hb Tv H2b | $10,316 |
| H2b [1068] | Hb Tv H2b | $10,316 |
| Aetna [1021] | Hb Tv Bp Aetna | $11,003 |
| Cigna [1062] | Hb Tv Cigna | $11,003 |
| Commercial [1028] | Hb Tv Bp Aetna | $11,003 |
| Commercial [1028] | Hb Tv Cigna | $11,003 |
| Commercial [1028] | Hb Tv United Healthcare | $11,278 |
| Geha [1065] | Hb Tv United Healthcare | $11,278 |
| Commercial [1028] | Hb Tv Ccn First Health | $11,347 |
| First Health [1064] | Hb Tv Ccn First Health | $11,347 |
| Commercial [1028] | Hb Tv Amps | $11,691 |
Inpatient
$8,372cash price (self-pay)
$16,744list price
$5,442–$15,070range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $10,884 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $10,884 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $10,884 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $10,884 |
| Commercial [1028] | Hb Tv Slhp Select Health | $10,884 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $10,884 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $10,884 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $10,884 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $10,884 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $10,884 |
| Select Health [1063] | Hb Tv Slhp Select Health | $10,884 |
| Select Health [1063] | Hb Tv Slhp Select Health Qhp | $10,884 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Gr | $10,884 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $10,884 |
| Commercial [1028] | Hb Tv H2b | $12,558 |
| H2b [1068] | Hb Tv H2b | $12,558 |
| Aetna [1021] | Hb Tv Bp Aetna | $13,395 |
| Cigna [1062] | Hb Tv Cigna | $13,395 |
| Commercial [1028] | Hb Tv Bp Aetna | $13,395 |
| Commercial [1028] | Hb Tv Cigna | $13,395 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $13,395 |
| Commercial [1028] | Hb Tv Va Ccn | $13,395 |
| Providence [1022] | Hb Tv Cigna | $13,395 |
| Veterans Affairs [1056] | Hb Tv Va Ccn | $13,395 |
| Commercial [1028] | Hb Tv United Healthcare | $13,730 |
| Geha [1065] | Hb Tv United Healthcare | $13,730 |
| United Healthcare [1025] | Hb Tv United Healthcare | $13,730 |
| United Medical Resources [1051] | Hb Tv United Healthcare | $13,730 |
| Commercial [1028] | Hb Tv Ccn First Health | $13,814 |
| First Health [1064] | Hb Tv Ccn First Health | $13,814 |
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