Knee arthroscopy at Northwest Health - Porter. CPT 29881.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$19,688cash price (self-pay)
$72,918list price
$474–$61,251range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| One Call | One Call Care Diagnostics WC | $474 |
| Veterans Eval Services | Veterans Eval Services | $494 |
| Aetna | Aetna HMO/POS | $1,030 |
| Anthem | Anthem IN Medicaid | $2,274 |
| CareSource | Caresource HHW IN Medicaid | $2,274 |
| CareSource | CareSource IN HIP | $2,274 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $2,274 |
| Indiana Medicaid | IN Medicaid | $2,274 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $2,274 |
| MHS | MHS HCC IN Medicaid | $2,274 |
| Managed Health Services | MHS HHW IN Medicaid | $2,274 |
| Managed Health Services | MHS IN HIP | $2,274 |
| UHC | UHC HCC IN Medicaid | $2,274 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $2,274 |
| United Healthcare | UHC APA | $4,105 |
| United Healthcare | UHC PPO | $4,105 |
| Align Network | Align Network | $5,539 |
| NODE Tricare | NODE Tricare | $8,170 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $17,500 |
| Self Pay | Self Pay | $19,688 |
| Cigna | Cigna ALL | $20,271 |
| Physicians Health Plan | PHP Options | $27,942 |
| PHP Freedom | PHP Freedom Network | $30,122 |
| Sagamore Health Network | Sagamore Indiana Financial | $32,230 |
| Lutheran Preferred | Lutheran Preferred Fixed 2 | $32,813 |
| Aetna | Aetna PPO | $35,219 |
| First Health Coventry | First Health | $35,730 |
| Sagamore Health Network | Sagamore Anthem Groups | $35,876 |
| Encore PPO | Encore Combined PPO | $36,459 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $36,459 |
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