Knee arthroscopy at Ascension Providence. CPT 29881.
What Ascension Providence publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,062–$5,174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Firstcare Focus Network | 130_firstcare Focus Network 20131001 | $1,062 |
| BCBS Star | 975_bcbs Star Outpatient 20241201 | $1,088 |
| Medicaid Replacement 100% | 903_medicaid Replacement 100% Outpatient 2 | $1,088 |
| Molina Medicaid Replacement Chip | 908_molina Chip Outpatient 20241201 | $1,088 |
| Superior Chip/Chip Perinate | 910_superior Chip Outpatient 20241201 | $1,088 |
| Superior Star | 904_superior Star Outpatient 20241201 | $1,088 |
| Superior Star Plus | 907_superior Star Plus Outpatient 20241201 | $1,088 |
| Swhp Rightcare Star | 905_swhp Rightcare Star Outpatient 20241201 | $1,088 |
| UHC Star | 928_uhc Star Outpatient 20250701 | $1,088 |
| UHC Star Kids | 909_uhc Star Kids Outpatient 20241201 | $1,088 |
| UHC Star Plus | 906_uhc Star Plus Outpatient 20241201 | $1,088 |
| Wellpoint Star | 902_wellpoint (Amerigroup) Star Outpatient 20241201 | $1,088 |
| BCBS Mybluehealth | 872_blue Cross Blue Shield Myblueheath 20250101 | $2,190 |
| BCBS Advantage HMO | 871_blue Cross Blue Shield Advantage HMO 20250101 | $2,737 |
| BCBS Essentials HMO | 870_blue Cross Blue Shield HMO Essentials 202501 | $4,654 |
| BCBS PPO | 869_blue Cross Blue Shield PPO 20250101 | $5,174 |
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