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Knee arthroscopy at Jefferson Methodist Hospital. CPT 29881.

What Jefferson Methodist Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$544–$13,320range insurers pay
Insurance planNegotiated rate
Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP$544
PA Health and Wellness CHC | JCC001_JCC002 CHC$959
UPMC CHC Medicaid | JCC001 JCC002 CHIP$973
UPMC CHC Medicaid | JCC001 JCC002 CHC$973
Geisinger Medicaid | JCC001 JCC002 Caid MCO$998
Aetna Better Health | JCC001_JCC002 CHIP$1,051
Keystone First | JCC002 Caid CHIP$2,058
Keystone First | JCC002 Caid MCO$2,058
Ibc | Jcc002 HMO$6,611
Ibc | Jcc002 PPO$6,611
Aetna | JCC001_JCC002 PEBTF$8,849
Aetna | JCC001_JCC002 Commercial$10,411
Cigna | JCC001_JCC002 Commercial$11,100
Cigna | JCC001_JCC002 PPO$13,320
UPMC Commercial | JCC001_JCC002 PPO$13,320
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All common services at Jefferson Methodist Hospital