Knee arthroscopy at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 29881.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$535–$3,203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $535 |
| Champva | 1136_champva Austin 20180301 | $555 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $1,088 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $1,088 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip (Ebd) Outpatient 202412 | $1,088 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip/Star Kids (Ebd) Outpati | $1,088 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $1,088 |
| BCBS Star | 4221_chirp Blue Cross Star (Ebd) Outpatient 20241201 | $1,088 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $1,088 |
| BCBS Star Kids | 5007_blue Cross Star Kids (Ebd) Outpatient 20241201 | $1,088 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $1,088 |
| Dell Chip/Chip Perinate | 4181_dell Chip/Star Kids (Ebd) Outpatient 20 | $1,088 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $1,088 |
| Dell Star | 4232_chirp Dell Star (Ebd) Outpatient 20241201 | $1,088 |
| UHC Star | 4253_chirp UHC Star (Chi,Dcn) Outpatient 20241201 | $1,088 |
| UHC Star | 4255_chirp UHC Star (Ebd) Outpatient 20241201 | $1,088 |
| UHC Star Kids | 4311_uhc Star Kids (Chi,Dcn) Outpatient 20241201 | $1,088 |
| UHC Star Kids | 4313_uhc Star Kids (Ebd) Outpatient 20241201 | $1,088 |
| UHC Star Plus | 4264_chirp UHC Star Plus (Chi,Dcn) Outpatient 20241201 | $1,088 |
| UHC Star Plus | 4266_chirp UHC Star Plus (Ebd) Outpatient 20241201 | $1,088 |
| Wellpoint Chip/Chip Perinate | 4157_amerigroup Chip/Star Kids (Chi,Dcn | $1,088 |
| Wellpoint Chip/Chip Perinate | 4157_wellpoint/Amerigroup Chip (Chi,Dcn | $1,088 |
| Wellpoint Chip/Chip Perinate | 4159_amerigroup Chip/Star Kids (Ebd) Ou | $1,088 |
| Wellpoint Chip/Chip Perinate | 4159_wellpoint/Amerigroup Chip (Ebd) Ou | $1,088 |
| Wellpoint Star | 4197_chirp Amerigroup Star (Chi,Dcn) Outpatient 20241 | $1,088 |
| Wellpoint Star | 4197_chirp Wellpoint/Amerigroup Star (Chi,Dcn) Outpat | $1,088 |
| Wellpoint Star | 4199_chirp Amerigroup Star (Ebd) Outpatient 20241201 | $1,088 |
| Wellpoint Star | 4199_chirp Wellpoint/Amerigroup Star (Ebd) Outpatient | $1,088 |
| Wellpoint Star Kids | 4970_wellpoint/Amerigroup Star Kids (Chi,Dcn) Ou | $1,088 |
| Wellpoint Star Kids | 4974_wellpoint/Amerigroup Star Kids (Ebd) Outpat | $1,088 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)