Knee arthroscopy at Methodist Le Bonheur Germantown Hospital. CPT 29881.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$4,571cash price (self-pay)
$20,779list price
$297–$6,203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $297 |
| TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennC | $1,120 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $1,422 |
| Cigna [100009] | Hb Cigna EPO Adult Locations | $2,080 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $2,398 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $2,398 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $2,398 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $2,449 |
| Tricare [600001] | Hb Tricare - Tn Contract | $2,895 |
| UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $2,966 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $2,971 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $2,971 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $2,971 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $2,971 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $2,971 |
| Medicare [400001] | Hb Medicare-Tn Contract | $2,971 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $2,971 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $2,971 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $2,971 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $2,971 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $2,971 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $2,971 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $2,971 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $2,971 |
| Va Hospital [600005] | Hb Va - Tn Contract | $2,971 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $2,971 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $2,998 |
| UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $3,126 |
| UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $3,159 |
| United Healthcare [100060] | Hb UHC Fed Ex All Payer (Choice) | $3,361 |
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All common services at Methodist Le Bonheur Germantown Hospital