Knee arthroscopy at Pipeline East Dallas LLC. CPT 29881.
What Pipeline East Dallas LLC publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$15,397cash price (self-pay)
$22,643list price
$1,088–$16,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP/Medicaid | $1,088 |
| Amerigroup | Dual Medicare/Medicaid | $3,287 |
| Amerigroup | Medicare | $3,287 |
| BCBS of TX | Medicare | $3,287 |
| Cigna | Medicare | $3,287 |
| Employer Direct | Commercial | $3,287 |
| Humana | Medicare/TRICARE | $3,287 |
| Molina | Dual Medicare/Medicaid | $3,287 |
| Molina | Medicare | $3,287 |
| Scott and White | Medicare | $3,287 |
| Superior Health Plan | EPO | $3,287 |
| Superior Health Plan | Medicare | $3,287 |
| Universal American | Dual Medicare/Medicaid | $3,287 |
| Universal American | Medicare | $3,287 |
| Wellcare | Medicare | $3,287 |
| Wellmed | Medicare | $3,287 |
| BCBS of TX | Blue Advantage | $4,572 |
| BCBS of TX | Blue Essentials | $5,475 |
| Scott and White | EPO/PPO | $5,476 |
| BCBS of TX | PPO | $6,898 |
| Cigna | Commercial | $6,948 |
| Multiplan | Auto | $10,000 |
| Multiplan | Commercial | $10,000 |
| Multiplan | Workers Comp | $10,000 |
| Cigna | Medicaid | $16,303 |
| Molina | CHIP/Medicaid | $16,303 |
| Parkland | Medicaid | $16,303 |
| Superior Health Plan | CHIP/Medicaid | $16,303 |
Inpatient
$15,397cash price (self-pay)
$22,643list price
—range insurers pay
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