Knee arthroscopy at Lake Granbury Medical Center. CPT 29881.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$13,242cash price (self-pay)
$73,566list price
$521–$69,887range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $1,145 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $1,145 |
| Medicaid | NODE TX Medicaid | $1,145 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $1,145 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $1,145 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $1,145 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $1,145 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $1,202 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $1,202 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $1,202 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $1,202 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $1,317 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $1,317 |
| Superior | NODE Superior STAR Medicaid TX | $1,317 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $1,317 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $1,557 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $1,557 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $3,549 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $3,727 |
| Aetna | NODE Aetna STAR Medicaid TX | $4,122 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $4,122 |
| NODE Tricare | NODE Tricare | $6,156 |
| NODE ChampVA | NODE ChampVA | $6,480 |
| BCBS TX | BCBS TX Blue ADV | $10,981 |
| BCBS TX | BCBS TX HMO | $11,559 |
| BCBS TX | BCBS TX PPO Trad | $11,559 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $18,539 |
| Cigna | Cigna New Business | $18,686 |
| Cigna | Cigna ALL | $28,985 |
| Aetna | Aetna Whole Health | $33,472 |
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