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Knee arthroscopy at Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.). CPT 29881.

What Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$594–$1,148range insurers pay
Insurance planNegotiated rate
Aetna Whole Health | 2659_mcok, Baok, Ohok Aetna Whole Health 20241001$594
First Health | 2649_baok, Jpok, Mcok, Ohok First Health 20241001$699
Aetna Whole Health | 2651_jpok Aetna Whole Health 20241001$905
Blue Cross Blue Shield Blue Advantage | 2718_jpok Blue Cross Blue Shie$1,148
Blue Cross Blue Shield Choice | 2726_jpok Blue Cross Blue Shield Blue $1,148
Blue Cross Blue Shield Lincs | 2732_jpok Blue Cross Blue Shield Blue L$1,148
Blue Cross Blue Shield Preferred | 2737_jpok Blue Cross Blue Shield Bl$1,148
Blue Cross Blue Shield Traditional | 2742_jpok Blue Cross Blue Shield $1,148
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All common services at Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)