Knee arthroscopy at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest. CPT 29881.
What INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$7,953cash price (self-pay)
$6,550list price
$4,013–$10,506range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Allegiance | $4,709 |
| Aetna | Aetna | $4,866 |
| Aetna Open Access | Aetna Open Access | $4,866 |
| Aetna Apcn Apcn - Aetna Premium Care Network | Aetna Apcn Apcn - Aet | $4,866 |
| Aetna HMO Aetna Choice POS | Aetna HMO Aetna Choice POS | $4,866 |
| Aetna HMO Aetna Select | Aetna HMO Aetna Select | $4,866 |
| Aetna HMO Managed Choice HMO | Aetna HMO Managed Choice HMO | $4,866 |
| Aetna PPO Nap (National Advantage Program) | Aetna PPO Nap (National A | $4,866 |
| Aetna PPO Open Choice PPO | Aetna PPO Open Choice PPO | $4,866 |
| Aetna PPO Signature Administrators | Aetna PPO Signature Administrator | $4,866 |
| Aarp | Aarp | $5,302 |
| Aarp Medicare Complete | Aarp Medicare Complete | $5,302 |
| Aarp Medicare Complete Aarp Medicare Complete Via United | Aarp Medica | $5,302 |
| Aarp Medicare Complete/Wellmed Wellmed As Payor | Aarp Medicare Comple | $5,302 |
| Aarp Medicare Supplement Plan | Aarp Medicare Supplement Plan | $5,302 |
| Aarp Medicarecomplete Choice PPO | Aarp Medicarecomplete Choice PPO | $5,302 |
| Aarp Po 740819 | Aarp Po 740819 | $5,302 |
| Aarp Select Aarp Select Plan C & F | Aarp Select Aarp Select Plan C | $5,302 |
| Aarp Supplemental | Aarp Supplemental | $5,302 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $5,302 |
| Aetna Medicare HMO Aetna Golden Medicare Choice | Aetna Medicare HMO A | $5,302 |
| Aetna Medicare PPO Aetna Medicare | Aetna Medicare PPO Aetna Medicare | $5,302 |
| Aetna Medicare PPO Esa Aetna Medicare With Esa On Id Card | Aetna Medi | $5,302 |
| Aetna Medicare Uaw Esa Uaw Members With Esa On Id Card | Aetna Medicar | $5,302 |
| Aetna Medicare Uaw PPO Uwa Members With PPO Plan | Aetna Medicare Uaw | $5,302 |
| Aetna Senior Supplemental | Aetna Senior Supplemental | $5,302 |
| Aetna Senior Supplemental Insurance | Aetna Senior Supplemental Insura | $5,302 |
| Allwell - Mhs Mhs - Allwell | Allwell - Mhs Mhs - Allwell | $5,302 |
| Anthem Healthy Indiana Health Indiana Plan - Anthem | Anthem Healthy I | $5,302 |
| Anthem Hhw - St. Francis St Francis Only | Anthem Hhw - St. Francis St | $5,302 |
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All common services at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest