Knee arthroscopy at IU Health West Hospital. CPT 29881.
What IU Health West 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 |
|---|---|
| Caresource | All Government Medicaid HIP | $2,274 |
| United Healthcare | All Managed Medicaid | $2,274 |
| Caresource | All Managed Medicaid | $2,274 |
| Managed Health Services | All Government Medicaid HIP | $2,274 |
| Elevance Health | All Government Medicaid HIP | $2,274 |
| Elevance Health | All Managed Medicaid | $2,274 |
| Managed Health Services | All Government Medicaid | $2,274 |
| Health Alliance | HMO/PPO Managed Medicare | $3,475 |
| United Healthcare | All Managed Medicare | $3,475 |
| Aetna | All Managed Medicare | $3,475 |
| Elevance Health | All Managed Medicare - In network | $3,475 |
| Elevance Health | All Managed Medicare - Out of network | $3,475 |
| Zing Health | All Managed Medicare | $3,475 |
| Indiana University Health | All Managed Medicare | $3,475 |
| Humana | All Managed Medicare HMO | $3,475 |
| Humana | All Managed Medicare PPO | $3,544 |
| Wellcare by Allwell | All Managed Medicare | $3,544 |
| Elevance Health | HMO - Anthem Pathway Essentials | $3,822 |
| United Healthcare | ASO | $4,691 |
| Caresource | All Marketplace Plans | $5,212 |
| Ambetter | All HMO Marketplace Plans | $5,733 |
| Elevance Health | All IUHP Employee Plans | $8,085 |
| Cigna | HMO/POS - Arnett Hospital Plans | $8,085 |
| Cigna | HMO - Open Access | $8,085 |
| Elevance Health | All PPO | $8,085 |
| Cigna | HMO | $8,085 |
| Cigna | PPO | $8,085 |
| Elevance Health | All HMO/POS | $8,085 |
| Cigna | PPO - New Business | $8,085 |
| Elevance Health | All Traditional Plans | $8,085 |
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