Knee arthroscopy at Baylor Scott & White Medical Center - Pflugerville. CPT 29881.
What Baylor Scott & White Medical Center - Pflugerville publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$8,187cash price (self-pay)
$13,645list price
$71.00–$12,343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $1,088 |
| United Healthcare | Medicaid/CHIP | $1,164 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $2,186 |
| Blue Cross Blue Shield | Blue Advantage | $2,212 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,532 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,670 |
| Baylor Scott & White Health Plan | Medicare Advantage | $3,123 |
| CORVEL | Worker's Compensation | $3,188 |
| Humana | Medicare | $3,287 |
| Superior Health Plan | Medicare HMO/Medicare PPO | $3,287 |
| TriWest | Community Care Network | $3,287 |
| American Health Plan | Medicare Advantage | $3,451 |
| HealthSpring | Medicare Advantage | $3,451 |
| ProCare Advantage | Medicare Advantage | $3,451 |
| United Healthcare | Medicare Advantage | $3,681 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $3,944 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $4,125 |
| Prime Health Services | Worker's Compensation | $4,145 |
| Sedgwick | Preferred Network | $4,914 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $4,964 |
| Cigna | Local Plus | $5,132 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $5,423 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $5,840 |
| Cigna | HMO/PPO | $6,038 |
| United Healthcare | Commercial | $6,518 |
| Humana | Commercial HMO | $7,441 |
| Aetna | Commercial | $7,505 |
| QuikTrip | Employee Benefit Plan | $7,505 |
| MidCoast | Commercial | $7,505 |
| University of Mary Hardin-Baylor | Commercial | $7,914 |
Inpatient
$8,187cash price (self-pay)
$13,645list price
$7,505–$12,280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $7,505 |
| MidCoast | Commercial | $7,505 |
| Independent Medical System | Commercial PPO | $8,187 |
| Curative | Commercial | $8,869 |
| First Health | PPO | $9,551 |
| Three Rivers | Three Rivers Provider Network | $12,280 |
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All common services at Baylor Scott & White Medical Center - Pflugerville