Knee arthroscopy at St. Luke's McCall Standard Charges. CPT 29881.
What St. Luke's McCall Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$6,877cash price (self-pay)
$6,877list price
$3,989–$6,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $3,989 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $3,989 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $3,989 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $3,989 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $3,989 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $3,989 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $3,989 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $3,989 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $4,029 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $4,068 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $4,068 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $4,388 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $5,502 |
| Commercial [1028] | Hb Mccall Amps | $5,845 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $5,845 |
| Commercial [1028] | Hb Mccall Moda Commercial | $6,052 |
| Moda [1055] | Hb Mccall Moda Commercial | $6,052 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $6,189 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $6,189 |
| Cigna [1062] | Hb Mccall Cigna | $6,396 |
| Commercial [1028] | Hb Mccall Cigna | $6,396 |
| Providence [1022] | Hb Mccall Cigna | $6,396 |
| Aetna [1021] | Hb Mccall Bp Aetna | $6,533 |
| Commercial [1028] | Hb Mccall Bp Aetna | $6,533 |
| Commercial [1028] | Hb Mccall First Choice Health | $6,533 |
| First Health [1064] | Hb Mccall First Choice Health | $6,533 |
| Webtpa [1071] | Hb Mccall Bp Aetna | $6,533 |
| Webtpa [1071] | Hb Mccall First Choice Health | $6,533 |
| Commercial [1028] | Hb Mccall United Healthcare | $6,602 |
| Geha [1065] | Hb Mccall United Healthcare | $6,602 |
Inpatient
$8,372cash price (self-pay)
$8,372list price
$4,856–$8,037range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $4,856 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $4,856 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $4,856 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $4,856 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $4,856 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $4,856 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $4,856 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $4,856 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $4,904 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $4,953 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $4,953 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $5,341 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $6,698 |
| Commercial [1028] | Hb Mccall Amps | $7,116 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $7,116 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $7,367 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $7,367 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $7,367 |
| Commercial [1028] | Hb Mccall Moda Commercial | $7,367 |
| Moda [1055] | Hb Mccall Moda Commercial | $7,367 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $7,535 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $7,535 |
| Cigna [1062] | Hb Mccall Cigna | $7,786 |
| Commercial [1028] | Hb Mccall Cigna | $7,786 |
| Providence [1022] | Hb Mccall Cigna | $7,786 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $7,870 |
| Aetna [1021] | Hb Mccall Bp Aetna | $7,953 |
| Commercial [1028] | Hb Mccall Bp Aetna | $7,953 |
| Commercial [1028] | Hb Mccall First Choice Health | $7,953 |
| First Health [1064] | Hb Mccall First Choice Health | $7,953 |
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