Knee arthroscopy at Ascension Saint Thomas Rutherford. CPT 29881.
What Ascension Saint Thomas Rutherford publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,890–$5,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Localplus | 3193_cigna Localplus (Dekalb) 20250601 | $1,890 |
| Cigna Localplus | 3192_rhtn Cigna Localplus 20250601 | $1,908 |
| Cigna PPO | 3199_cigna PPO (Dekalb) 20250601 | $1,974 |
| Cigna HMO | 3196_cigna HMO (Dekalb) 20250601 | $1,986 |
| BCBS Missionpoint | 2416_mttn Blue Cross Blue Shield Mission Point 202 | $2,307 |
| Cigna Localplus | 3187_sttn Cigna Localplus 20250601 | $3,580 |
| Cigna Localplus | 3186_mttn Cigna Localplus 20250601 | $5,065 |
| Cigna HMO | 3188_mttn Cigna HMO 20250601 | $5,268 |
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