Knee arthroscopy at IU Health Jay Hospital. CPT 29881.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,274–$16,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services | All Government Medicaid | $2,274 |
| Elevance Health | All Managed Medicaid | $2,274 |
| United Healthcare | All Managed Medicaid | $2,274 |
| Caresource | All Managed Medicaid | $2,274 |
| Caresource | All Government Medicaid HIP | $2,274 |
| Managed Health Services | All Government Medicaid HIP | $2,274 |
| Elevance Health | All Government Medicaid HIP | $2,274 |
| Elevance Health | All PPO | $8,085 |
| Elevance Health | All Traditional Plans | $8,085 |
| Elevance Health | All IUHP Employee Plans | $8,085 |
| Cigna | HMO/POS - Arnett Hospital Plans | $8,085 |
| Cigna | PPO - New Business | $8,085 |
| Cigna | HMO - Open Access | $8,085 |
| Cigna | PPO | $8,085 |
| Cigna | HMO | $8,085 |
| Elevance Health | All HMO/POS | $8,085 |
| Aetna | HMO - Coventry Plans | $8,085 |
| Aetna | PPO/POS | $8,085 |
| Aetna | POS - Cox Medical Plans | $8,085 |
| Aetna | PPO - IN Preferred | $8,085 |
| SIHO Insurance Services | All PPO Plans | $8,085 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $8,085 |
| SIHO Insurance Services | HMO/POS Plans | $8,085 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $8,085 |
| Encore Health Network | PPO | $8,085 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $16,170 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.