Knee arthroscopy at St. Luke's Health - Brazosport Hospital. CPT 29881.
What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$571–$7,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHC | Medicaid|CHIP | $571 |
| TCHP | Medicaid|All Other Plans | $1,145 |
| UNITED | Medicaid|All Other Plans | $1,145 |
| Wellpoint | Medicaid|All Other Plans | $1,145 |
| BCBS | Medicaid|All Plans | $1,202 |
| CHC | Medicaid|All Other Plans | $1,202 |
| SUPERIOR | Medicaid|All Plans | $1,202 |
| United | Commercial|All Other Plans | $1,517 |
| TCHP | Medicaid|STAR | $1,534 |
| UNITED | Medicaid|STAR | $1,534 |
| Wellpoint | Medicaid|STAR | $1,534 |
| CHC | Medicaid|STAR | $1,614 |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,902 |
| BCBS | Medicare|All Plans | $3,250 |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,250 |
| HUMANA | Medicare|All Plans | $3,250 |
| KELSEY | Medicare|All Plans | $3,250 |
| UNITED | Medicare|All Plans | $3,250 |
| SELECTCARE | Medicare|All Plans | $3,347 |
| WellcareTP | Medicare|All Plans | $3,347 |
| Wellpoint | Medicare|All Plans | $3,347 |
| Community Health Choice | Commercial|Exchange | $3,412 |
| Devoted | Medicare|All Plans | $3,477 |
| SCANHealth | Medicare|All Plans | $3,477 |
| UNITED | Medicaid|STARPLUS | $3,503 |
| BCBS-TX | Commercial|Blue Options | $3,624 |
| Cigna | Commercial|All Plans | $3,672 |
| BCBS-TX | Commercial|Traditional | $3,730 |
| BCBS-TX | Commercial|PPO-POS | $3,942 |
| BCBS-TX | Commercial|HMO | $4,407 |
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All common services at St. Luke's Health - Brazosport Hospital