Knee arthroscopy at St Lukes Hospital Warren Campus. CPT 29881.
What St Lukes Hospital Warren Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$641–$14,155range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $641 |
| AmeriHealth Caritas | Medicaid | $652 |
| UPMC Health Plan | Medicaid | $652 |
| Cigna | Commercial | $1,650 |
| Independence Blue Cross | Medicare Advantage | $3,573 |
| United Healthcare | Medicare Advantage | $3,573 |
| Aetna | Medicare | $3,644 |
| Geisinger | Medicare | $3,644 |
| Humana | Medicare | $3,716 |
| UPMC Health Plan | Medicare Advantage | $3,752 |
| Independence Blue Cross | HMO | $7,388 |
| Independence Blue Cross | PPO | $7,388 |
| Capital Blue Cross | Commercial | $8,195 |
| Horizon BCBS NJ | Indemnity | $11,995 |
| Horizon BCBS NJ | Managed Care | $11,995 |
| Horizon BCBS NJ | PPO | $11,995 |
| Horizon BCBS NJ | Omnia | $14,155 |
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