Knee arthroscopy at Le Bonheur Children's Hospital. CPT 29881.
What Le Bonheur Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$17,265cash price (self-pay)
$78,475list price
$297–$21,595range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $297 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $2,398 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $2,398 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $2,398 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Tn-Leb Contract | $2,398 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Lebonheur Cont | $2,449 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $2,811 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $2,811 |
| CIGNA [100009] | HB Cigna EPO Le Bonheur | $3,166 |
| UHC Medicaid [350006] | Hb UHC Mschips Lebonheur Contract | $5,041 |
| CIGNA [100009] | HB CIGNA IFP - LeBonheur | $5,098 |
| CIGNA [100009] | HB CIGNA HMO - LeBonheur | $5,664 |
| CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $5,664 |
| CIGNA [100009] | HB CIGNA OAP – LeBonheur | $5,854 |
| Tricare [600001] | Hb Tricare - Tn Contract | $6,400 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $6,542 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $6,542 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $6,542 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $6,542 |
| Medicare [400001] | Hb Medicare-Tn Contract | $6,542 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $6,542 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $6,542 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $6,542 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $6,542 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $6,542 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $6,542 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $6,542 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $6,542 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $6,542 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $6,542 |
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