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Knee arthroscopy at WellSpan Evangelical Community Hospital. CPT 29881.

What WellSpan Evangelical Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$854–$15,468range insurers pay
Insurance planNegotiated rate
UPMC_Medicaid | All_Plans$854
Amerihealth_Caritas_Medicaid | All_Plans$916
Highmark_Wholecare_Gateway_Medicare | All_Plans$970
Health_Partners_Medicaid | All_Plans$970
Geisinger_Medicaid | All_Plans$1,007
PA_Health_&_Wellness_Medicaid | All_Plans$1,009
UPMC | UPMC_For_Kids$1,009
Aetna | All_Plans$3,121
Blue_Cross_BlueJourney_Medicare | All_Plans$3,121
First_Health_Network | All_Plans$3,121
Highmark_Medicare | All_Plans$3,153
Aetna_Advantra_Medicare | All_Plans$3,184
Humana_Medicare | All_Plans$3,184
Geisinger_Gold_Medicare | All_Plans$3,215
Amerihealth_Medicare | All_Plans$3,246
Devoted_Medicare | All_Plans$3,277
UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care$3,277
United_Medicare | ISNP_DSNP_Plans$3,277
Jefferson_Health_Medicare_Advantage | All_Plans$3,371
PA_Health_&_Wellness_Medicare | All_Plans$3,371
Highmark_Wholecare_Gateway_Medicaid | All_Plans$3,496
Highmark | Higmark_Healthy_Kids$4,682
United_Medicaid | Community_Plan_For_Kids$5,462
UPMC | All_Plans$5,945
Geisinger | All_Plans$10,190
Blue_Cross | Capital_Cares_4_kids$10,828
Performance_Blue | Blue_Cross_High_Performance_Network$11,983
Highmark | All_Other_Plans$13,314
Blue_Cross | All_Other_Plans$15,468
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All common services at WellSpan Evangelical Community Hospital