Knee arthroscopy at Dupont Hospital. CPT 29881.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$139cash price (self-pay)
$1,587list price
$124–$46,167range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Physicians Health Plan | PHP Options | $385 |
| Amish Aid | Amish Aid | $428 |
| Self Pay | Self Pay | $428 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $471 |
| Veterans Eval Services | Veterans Eval Services | $494 |
| Physicians Health Plan | PHP Classic Network | $506 |
| Cigna | Cigna HMO | $513 |
| PHP Freedom Network | PHP Freedom Network | $527 |
| Cigna | Cigna PPO | $576 |
| Aetna | Aetna NBD | $587 |
| Aetna PSSD J and J | Aetna PSSD JJ | $587 |
| Physicians Health Plan | PHP Platinum Network | $614 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $635 |
| Aetna | Aetna | $709 |
| Lutheran Preferred | Lutheran Preferred Fixed | $714 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $714 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $714 |
| Encore PPO | Encore Combined PPO | $794 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $794 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $794 |
| Medical Mutual of OH | Medical Mutual of Ohio | $841 |
| Sagamore | Sagamore Select Fully Insured | $854 |
| Lutheran Preferred | Lutheran Preferred Choice | $873 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $873 |
| Sagamore | Sagamore Plus | $884 |
| Sagamore | Sagamore Select Self Insured | $884 |
| Lutheran Preferred | Lutheran Preferred CCSI | $952 |
| Prime Health Services | Prime Health Services | $1,190 |
| Prime Health Services | Prime Health Services Auto | $1,190 |
| FrontPath | FrontPath Health Coalition | $1,270 |
Inpatient
$231cash price (self-pay)
$1,587list price
$152–$1,847range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $471 |
| Cigna | Cigna HMO | $513 |
| Cigna | Cigna PPO | $576 |
| Aetna | Aetna NBD | $587 |
| Aetna PSSD J and J | Aetna PSSD JJ | $587 |
| Physicians Health Plan | PHP Platinum Network | $614 |
| Aetna | Aetna | $709 |
| Self Pay | Self Pay | $714 |
| Medical Mutual of OH | Medical Mutual of Ohio | $841 |
| Lutheran Preferred | Lutheran Preferred Choice | $873 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $873 |
| Lutheran Preferred | Lutheran Preferred CCSI | $952 |
| Prime Health Services | Prime Health Services | $1,190 |
| Prime Health Services | Prime Health Services Auto | $1,190 |
| FrontPath | FrontPath Health Coalition | $1,270 |
| Encore Health Network | Encore Fully Funded | $1,301 |
| Advantage Health Solutions | Advantage Health Solutions | $1,317 |
| Multiplan | Multiplan PPO Primary Network | $1,365 |
| Allied Benefit Systems | Allied Benefit Systems | $1,428 |
| Encore Health Network | Encore Self Funded | $1,428 |
| Multiplan | Multiplan PPO Complimentary Network | $1,428 |
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