Knee arthroscopy at lutheran hospital. CPT 29881.
What lutheran hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,429–$6,757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $1,429 |
| Paramount | Managed Medicaid | $1,549 |
| ANTHEM | Managed Medicaid | $1,579 |
| Buckeye | Managed Medicaid | $1,579 |
| MOLINA | Managed Medicaid | $1,579 |
| United BH | Managed Medicaid | $1,594 |
| CARESOURCE | Managed Medicaid | $1,609 |
| UNITED | Managed Medicaid | $1,609 |
| AMERIHEALTH | Managed Medicaid | $1,654 |
| HUMANA | Medicare Advantage HMO | $3,008 |
| MMO | Medicare Advantage HMO | $3,008 |
| OPTUM | Medicare Advantage Transplant | $3,008 |
| OPTUM | All Products VA | $3,008 |
| The Health Plan | MEDICARE ADVANTAGE | $3,008 |
| United | Medicare Advantage | $3,008 |
| Aetna | Medicare Advantage | $3,096 |
| Anthem | Medicare Advantage | $3,096 |
| Devoted Health | Medicare Advantage | $3,096 |
| Summacare | MEDICARE ADVANTAGE | $3,096 |
| Upmc | Medicare Advantage | $3,096 |
| Valor | HMO & PPO | $3,096 |
| MMO | Medicare Advantage PPO | $3,098 |
| Cigna | Medicare Advantage | $3,188 |
| Perennial Health | MEDICARE ADVANTAGE | $3,249 |
| CommuniCare | MEDICARE ADVANTAGE | $3,250 |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343 |
| Pphp | All Products | $3,405 |
| Zing Health | Medicare Advantage | $3,405 |
| Mmo | All Products | $4,042 |
| Cigna | All Products | $6,565 |
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