Knee arthroscopy at Baylor Scott & White Medical Center - Grapevine. CPT 29881.

What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$1,088–$12,343range insurers pay

Insurance plan	Negotiated rate
Superior Health Plan \| Medicaid	$1,088
Aetna \| Medicaid	$1,110
United Healthcare \| Medicaid/CHIP	$1,164
Baylor Scott & White Health Plan \| Medicare Advantage	$3,128
CORVEL \| Worker's Compensation	$3,194
Aetna \| Medicare Advantage	$3,292
Humana \| Medicare	$3,292
TriWest \| Community Care Network	$3,292
American Health Plan \| Medicare Advantage	$3,457
Blue Cross Blue Shield \| Medicare Advantage	$3,457
HealthSpring \| Medicare Advantage	$3,457
ProCare Advantage \| Medicare Advantage	$3,457
Superior Health Plan \| Medicare	$3,457
United Healthcare \| Medicare Advantage	$3,687
Baylor Scott & White Health Plan \| BSW Premier - Small Group	$3,951
Baylor Scott & White Health Plan \| BSW Premier - Individual	$4,132
Prime Health Services \| Worker's Compensation	$4,152
Blue Cross Blue Shield \| Blue Advantage	$4,626
Sedgwick \| Preferred Network	$4,922
Baylor Scott & White Health Plan \| BSW Plus - Small Group	$5,432
United Healthcare \| Charter	$6,497
United Healthcare \| Nexus	$6,497
Blue Cross Blue Shield \| Blue Premier/High Performance Network/My Blue	$6,543
Cigna \| Local Plus	$6,703
Superior Ambetter \| Ambetter Exchange	$7,079
United Healthcare \| Commercial Broad	$7,219
Cigna \| HMO/PPO	$7,886
Mark Cuban \| Commercial	$8,018
Blue Cross Blue Shield \| City of Dallas	$8,787
Blue Cross Blue Shield \| Blue Essentials (HMO)	$9,280

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