Knee arthroscopy at St. Luke's Wood River Standard Charges. CPT 29881.
What St. Luke's Wood River 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
$3,920–$6,671range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $3,920 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $3,920 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $3,920 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $3,920 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $3,920 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $3,920 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $3,920 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $3,920 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $3,959 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $3,998 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $3,998 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $4,116 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $4,312 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $5,502 |
| Commercial [1028] | Hb Wr Amps | $5,845 |
| Commercial [1028] | Hb Wr Christian Health Aid | $5,845 |
| Commercial [1028] | Hb Wr Moda Commercial | $6,052 |
| Moda [1055] | Hb Wr Moda Commercial | $6,052 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $6,189 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $6,189 |
| Commercial [1028] | Hb Wr United Healthcare | $6,224 |
| Geha [1065] | Hb Wr United Healthcare | $6,224 |
| United Health Care [1025] | Hb Wr United Healthcare | $6,224 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $6,224 |
| Cigna [1062] | Hb Wr Cigna | $6,396 |
| Commercial [1028] | Hb Wr Cigna | $6,396 |
| Providence [1022] | Hb Wr Cigna | $6,396 |
| Aetna [1021] | Hb Wr Bp Aetna | $6,533 |
| Commercial [1028] | Hb Wr Bp Aetna | $6,533 |
| Commercial [1028] | Hb Wr First Choice Health | $6,533 |
Inpatient
$8,372cash price (self-pay)
$8,372list price
$4,772–$8,121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $4,772 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $4,772 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $4,772 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $4,772 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $4,772 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $4,772 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $4,772 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $4,772 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $4,820 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $4,867 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $4,867 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $5,011 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $5,249 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $6,698 |
| Commercial [1028] | Hb Wr Amps | $7,116 |
| Commercial [1028] | Hb Wr Christian Health Aid | $7,116 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $7,158 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $7,158 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $7,158 |
| Commercial [1028] | Hb Wr Moda Commercial | $7,367 |
| Moda [1055] | Hb Wr Moda Commercial | $7,367 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $7,535 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $7,535 |
| Commercial [1028] | Hb Wr United Healthcare | $7,577 |
| Geha [1065] | Hb Wr United Healthcare | $7,577 |
| United Health Care [1025] | Hb Wr United Healthcare | $7,577 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $7,577 |
| Cigna [1062] | Hb Wr Cigna | $7,786 |
| Commercial [1028] | Hb Wr Cigna | $7,786 |
| Providence [1022] | Hb Wr Cigna | $7,786 |
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All common services at St. Luke's Wood River Standard Charges