Knee arthroscopy at UPMC Northwest. CPT 29881.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$598–$3,403range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $598 |
| United Healthcare Community Plan for Families | Unison Kids | $625 |
| Aetna | Medicaid | $652 |
| Highmark Wholecare (prev Gateway) | Medicaid | $806 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $848 |
| PA Health & Wellness | PA Medicaid HMO | $926 |
| UPMC Health Plan | Commercial | $1,535 |
| UPMC Work Partners | Workers Comp | $1,897 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $2,676 |
| UPMC Health Plan | Managed Medicare | $2,805 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $3,093 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,167 |
| Aetna | Medicare | $3,186 |
| United Healthcare | Unison Advantage Non Special Needs | $3,248 |
| Aetna of PA | Medicare | $3,248 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,297 |
| Highmark Wholecare (prev Gateway) | Medicare | $3,341 |
| AmeriHealth Caritas | Medicare | $3,341 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $3,341 |
| United Healthcare | Unison Advantage Special Needs | $3,403 |
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