Knee arthroscopy at Thomas Jefferson University Hospital. CPT 29881.
What Thomas Jefferson University 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 plan | Negotiated 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 | JCC001 Caid CHIP | $2,058 |
| Keystone First | JCC001 Caid MCO | $2,058 |
| Ibc | Jcc001 PPO | $6,604 |
| Ibc | Jcc001 HMO | $6,604 |
| Aetna | JCC001_JCC002 PEBTF | $8,849 |
| Aetna | JCC001_JCC002 Commercial | $10,411 |
| Cigna | JCC001_JCC002 Commercial | $11,100 |
| UPMC Commercial | JCC001_JCC002 PPO | $13,320 |
| Cigna | JCC001_JCC002 PPO | $13,320 |
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