Knee arthroscopy at UPMC Childrens. CPT 29881.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$537–$4,414range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $1,255 |
| Aetna | Medicaid | $1,332 |
| Aetna | CHIP | $1,671 |
| Health Plan of Upper Ohio Valley | CHIP | $1,671 |
| Health Plan of Upper Ohio Valley | Medicaid | $1,671 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,035 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,103 |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,193 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,203 |
| Geisinger | Medicaid/CHIP | $2,234 |
| Health Plan of Upper Ohio Valley | Medicare | $3,093 |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,212 |
| UPMC Health Plan | CHIP | $3,250 |
| Highmark BCBS of PA | Medicare | $3,282 |
| AmeriHealth Caritas | Medicare | $3,341 |
| Cigna | Medicare | $3,341 |
| Aetna | Medicare | $3,403 |
| United Healthcare Community Plan for Families | PA Medicaid | $3,700 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,752 |
| Highmark BCBS of PA | Managed Care | $3,778 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4,033 |
| UPMC Health Plan | Managed Medicare | $4,033 |
| Highmark BCBS of PA | Commercial - Indemnity | $4,414 |
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