Knee arthroscopy at St. Luke's Health Memorial San Augustine. CPT 29881.

What St. Luke's Health Memorial San Augustine 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–$8,563range insurers pay

Insurance plan	Negotiated rate
SUPERIOR \| Medicaid\|All Other Plans	$1,088
SUPERIOR \| Medicaid\|STARPLUS	$1,088
TCHP \| Medicaid\|All Plans	$1,088
UNITED \| Medicaid\|All Other Plans	$1,088
UNITED \| Medicaid\|STAR	$1,088
UNITED \| Medicaid\|STARKIDS	$1,088
Wellpoint \| Medicaid\|All Other Plans	$1,088
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$1,110
Wellpoint \| Medicaid\|STARPLUS	$1,121
BCBS \| Medicaid\|All Plans	$1,143
SUPERIOR \| Medicaid\|STAR	$1,709
Wellpoint \| Medicaid\|STAR	$1,709
BCBS-TX \| Commercial\|Blue Advantage HMO	$1,807
UNITED \| Medicaid\|STARPLUS	$1,948
AETNA \| Medicare\|All Plans	$2,854
HUMANA \| Medicare\|All Plans	$2,854
Wellpoint \| Medicare\|All Plans	$2,940
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$2,997
CIGNA HEALTHSPRING \| Medicare\|PPO	$3,025
BCBS \| Medicare\|All Plans	$3,220
UNITED \| Medicare\|All Plans	$3,220
SCANHealth \| Medicare\|All Plans	$3,282
MD Save \| Commercial\|All Plans	$3,568
Cigna \| Commercial\|All Plans	$3,623
BCBS-TX \| Commercial\|Blue Premier	$4,024
BCBS-TX \| Commercial\|HMO	$4,106
BCBS-TX \| Commercial\|PPO	$4,517
Wellpoint \| Commercial\|Exchange	$4,830
Angelina County \| Commercial\|All Plans	$7,792
Brookshire Brothers \| Commercial\|All Plans	$8,563

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