Knee arthroscopy at Jefferson Hospital. CPT 29881.
What Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$292cash price (self-pay)
$1,538list price
$19.00–$10,225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $307 |
| Univera | Univera Healthy New York | $307 |
| Univera | Univera Medicare | $402 |
| Univera | Univera Commercial | $451 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $571 |
| Amerihealth | Amerihealth Medicaid CHC | $778 |
| Amerihealth | Amerihealth Medicaid HC | $778 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $788 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $788 |
| Geisinger | Geisinger CHIP | $870 |
| Geisinger | Geisinger Medicaid HC | $870 |
| Aetna | Aetna Better Health CHIP | $885 |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,018 |
| Highmark | Highmark Together Blue | $1,066 |
| University of Pittsburgh Medical Center | University of Pittsburgh Med | $1,072 |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me | $1,107 |
| United Healthcare | United Healthcare Medicaid | $1,140 |
| Highmark | Highmark My Direct Blue | $1,639 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $1,924 |
| Highmark | Highmark Social Mission Indemnity | $2,049 |
| Highmark | Highmark Social Mission Managed Care | $2,049 |
| Highmark | Highmark My Blue Access | $2,152 |
| Highmark | Highmark Blue High Performance | $2,437 |
| Highmark | Highmark Performance Blue | $2,437 |
| Highmark | Highmark Connect Blue | $2,664 |
| Highmark | Highmark Community Blue Medicare PPO | $2,872 |
| Highmark | Highmark Complete Blue Medicare | $2,872 |
| Highmark | Highmark Freedom Blue | $2,903 |
| Highmark | Highmark Community Blue | $2,921 |
| Highmark | Highmark Indemnity | $2,921 |
Inpatient
—cash price (self-pay)
—list price
$44.46–$1,036range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $307 |
| Univera | Univera Healthy New York | $307 |
| Univera | Univera Medicare | $402 |
| Univera | Univera Commercial | $451 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $571 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $571 |
| Highmark | Highmark Together Blue | $676 |
| Highmark | Highmark Blue High Performance | $715 |
| Highmark | Highmark Community Blue | $715 |
| Highmark | Highmark Connect Blue | $715 |
| Highmark | Highmark Indemnity | $715 |
| Highmark | Highmark Managed Care | $715 |
| Highmark | Highmark My Blue Access | $715 |
| Highmark | Highmark My Direct Blue | $715 |
| Highmark | Highmark Performance Blue | $715 |
| Highmark | Highmark Social Mission Indemnity | $715 |
| Highmark | Highmark Social Mission Managed Care | $715 |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $717 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $788 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $788 |
| Geisinger | Geisinger CHIP | $788 |
| Geisinger | Geisinger Medicaid HC | $788 |
| United Healthcare | United Healthcare Medicaid | $788 |
| Cigna | Cigna Commercial | $868 |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $983 |
| United Healthcare | United Healthcare Commercial | $1,036 |
| United Healthcare | United Healthcare Of OH Medicaid | $1,036 |
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