Knee arthroscopy at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 29881.
What Suburban Behavioral Health Campus of Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,345cash price (self-pay)
$7,863list price
$932–$7,863range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $932 |
| Health Partners Plan | Health Partners Plan Medicaid | $1,582 |
| UHC | UHC Medicaid | $2,040 |
| Humana Military Tricare | Humana Military Tricare | $2,676 |
| Health Partners Plan | Health Partners Plan Medicare | $3,345 |
| Independence Blue Cross | IBC Medicare | $3,345 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $3,345 |
| Traditional Medicare | Traditional Medicare | $3,345 |
| Tricare | Tricare | $3,345 |
| UHC | UHC Medicare | $3,345 |
| UHC | UHC Va Ccn | $3,345 |
| Providers Partner Health Plan | Provider Partners Health Plan | $3,445 |
| Keystone | Keystone First Medicare | $3,479 |
| PA Health & Wellness | PA Health & Wellness Medicaid | $3,500 |
| Ally-Align Medicare | Ally-Align Medicare | $3,512 |
| Spartan | Spartan Plan | $3,512 |
| Keystone | Keystone First Medicaid | $3,634 |
| Auto Insurance | Auto Insurance | $3,680 |
| Worker Compensation | Worker Compensation | $3,780 |
| Independence Blue Cross | IBC PPACA | $3,817 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $4,014 |
| Employer Direct Healthcare | Employer Direct Healthcare | $4,683 |
| Independence Blue Cross | IBC Commercial HMO PPO | $4,817 |
| Independence Blue Cross | IBC Indemnity | $4,817 |
| Health Partners Plan | Health Partners Plan Exchange | $5,018 |
| Naphcare | Naphcare | $5,185 |
| UHC | UHC Exchange | $5,262 |
| UHC | UHC Commercial All Payer | $6,992 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $7,289 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $7,863 |
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All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital