Knee arthroscopy at St Lukes Hospital Sacred Heart Campus. CPT 29881.
What St Lukes Hospital Sacred Heart Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$625–$10,359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First | Medicaid | $625 |
| Geisinger | Medicaid/CHIP | $641 |
| AmeriHealth Caritas | Medicaid | $652 |
| Highmark Wholecare | Medicaid | $652 |
| UPMC Health Plan | Medicaid | $652 |
| Jefferson Health Plan | CHIP/Medicaid | $783 |
| Highmark | Medicare Advantage | $3,322 |
| Horizon BCBS NJ | Medicare | $3,322 |
| Independence Blue Cross | Medicare Advantage | $3,322 |
| Highmark | Freedom Blue Medicare Advantage | $3,355 |
| Aetna | Medicare | $3,388 |
| Geisinger | Medicare | $3,388 |
| Humana | Medicare | $3,455 |
| UPMC Health Plan | Medicare Advantage | $3,488 |
| United Healthcare | Medicare Advantage | $3,587 |
| Highmark | CHIP | $4,972 |
| Independence Blue Cross | HMO | $5,730 |
| Capital Blue Cross | Commercial | $8,195 |
| Independence Blue Cross | PPO | $8,209 |
| Highmark | Commercial | $10,359 |
| Highmark | Special Care | $10,359 |
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All common services at St Lukes Hospital Sacred Heart Campus