Knee arthroscopy at St. Luke's Health - Lakeside Hospital. CPT 29881.

What St. Luke's Health - Lakeside Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$1,088–$10,562range insurers pay

Insurance plan	Negotiated rate
TCHP \| Medicaid\|Lakeside	$1,088
TCHP \| Medicaid\|STARKIDS	$1,088
UHC \| Medicaid\|CHIP	$1,110
UHC \| Medicaid\|STARKIDS	$1,110
UNITED \| Medicaid\|All Other Plans	$1,110
BCBS \| Medicaid\|All Plans	$1,143
CHC \| Medicaid\|All Other Plans	$1,252
TCHP \| Medicaid\|STAR	$1,458
Aetna-Kelsey Care \| Commercial\|HMO	$1,528
CHC \| Medicaid\|STAR	$1,676
Aetna \| Commercial\|HMO	$1,842
BCBS-TX \| Commercial\|Exchange	$2,053
Independent Med System \| Commercial\|All Plans	$2,202
Renaissance \| Commercial\|All Plans	$2,340
KelseyCare \| Commercial\|All Other Plans	$2,405
BCBS - TX \| Commercial\|MyBlue Health Exchange	$2,628
UHC \| Medicaid\|STARPLUS	$3,395
Cigna \| Commercial\|Surefit	$3,635
United \| Commercial\|Exchange	$3,677
BCBS-TX \| Commercial\|Blue Premier	$3,969
Humana \| Commercial\|HMO	$4,000
Humana \| Commercial\|PPO	$4,000
Cigna \| Commercial\|HMO	$4,005
KelseyCare \| Commercial\|Exchange	$4,387
BCBS-TX \| Commercial\|HMO	$4,708
Bright Health \| Commercial\|All Plans	$4,736
Ambetter \| Commercial\|All Plans	$4,875
Community Health Choice \| Commercial\|All Other Plans	$4,875
Community Health Choice \| Commercial\|Exchange	$4,875
Harris Health \| Commercial\|ERS	$4,875

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