Knee arthroscopy at Fort Loudoun Medical Center. CPT 29881.
What Fort Loudoun Medical Center publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,372–$5,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | IFP | $2,372 |
| Ambetter | Exchange | $2,480 |
| Aetna | Commercial | $2,561 |
| United Healthcare | Tenncare | $2,596 |
| Cigna | Local Plus | $2,905 |
| Optum | VA CCN | $2,969 |
| Tricare | Humana Military | $2,969 |
| Humana | DSNP | $3,058 |
| Humana | Medicare Advantage HMO | $3,058 |
| Humana | Medicare Advantage PPO | $3,058 |
| United Healthcare | Community Plan DSNP | $3,058 |
| United Healthcare | Medicare Advantage | $3,058 |
| Farm Bureau | Medicare Advantage HMO | $3,087 |
| Farm Bureau | Medicare Advantage PPO | $3,087 |
| Aetna | Medicare Advantage | $3,117 |
| Blue Cross of TN | BlueEssential DSNP | $3,117 |
| Blue Cross of TN | BlueEssential HMO | $3,117 |
| Blue Cross of TN | Med Adv Diamond | $3,117 |
| Blue Cross of TN | Med Adv PPO | $3,117 |
| Blue Cross of TN | Med Adv Ruby | $3,117 |
| Blue Cross of TN | Med Adv Sapphire | $3,117 |
| Cigna | Medicare HMO | $3,117 |
| Cigna | Medicare HMO-POS | $3,117 |
| Cigna | Medicare PPO | $3,117 |
| Devoted Health | HMO | $3,117 |
| Devoted Health | PPO | $3,117 |
| HealthSpring | Medicare HMO POS | $3,117 |
| HealthSpring | Medicare PPO | $3,117 |
| United Healthcare | DSNP | $3,117 |
| Wellcare | Medicare Advantage | $3,117 |
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