Knee arthroscopy at Covenant Hospital Levelland. CPT 29881.
What Covenant Hospital Levelland publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,600–$15,111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs | All Commercial Plans | $2,600 |
| Bcbs | Vapc3 Government | $3,188 |
| Aetna | Medicare Managed Care Plan | $3,287 |
| Superior | Wellcare Medicare Managed Care Plan | $3,451 |
| Unitedhealthcare | Medicare Managed Care Plan | $3,468 |
| Aetna | All Commercial Plans | $6,794 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $9,143 |
| Bcbs | Ers Hmo | $9,800 |
| Bcbs | Ppo | $10,512 |
| Bcbs | Hmo | $10,840 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $11,060 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $11,456 |
| Bcbs | Traditional | $15,111 |
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