Knee arthroscopy at Mercy Pediatrics - Doctors Park. CPT 29881.
What Mercy Pediatrics - Doctors Park publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,400cash price (self-pay)
$1,866list price
$410–$1,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $410 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $451 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $451 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $471 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $471 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $484 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $484 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $484 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $484 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $547 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $547 |
| Aetna [20008] | Pb Cape Aetna | $629 |
| Aetna Contracted [320008] | Pb Cape Aetna | $629 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $629 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $653 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $677 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $682 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $711 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $711 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $745 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $775 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $787 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $790 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Hermann | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Quality Collisio | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Sapaugh Motors | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Tall Tree | $790 |
Inpatient
$1,400cash price (self-pay)
$1,866list price
$410–$1,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $410 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $451 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $451 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $471 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $471 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $484 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $484 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $484 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $484 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $547 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $547 |
| Aetna [20008] | Pb Cape Aetna | $629 |
| Aetna Contracted [320008] | Pb Cape Aetna | $629 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $629 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $653 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Preferred/Pat | $677 |
| Blue Cross And Blue Shield [20053] | Pb Cape Anthem Blue Access | $682 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $711 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $711 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $745 |
| Consociate Consolidated Health Contracted [320490] | Pb Cape Consociat | $775 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $787 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $790 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Hermann | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Quality Collisio | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Sapaugh Motors | $790 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Tall Tree | $790 |
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