Knee arthroscopy at St. Luke's Health - Springwoods Village Hospital. CPT 29881.
What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,145–$10,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Montgomery Hospital District | Commercial|All Plans | $1,145 |
| TCHP | Medicaid|STARKIDS | $1,145 |
| Wellpoint | Medicaid|All Other Plans | $1,145 |
| Wellpoint | Medicaid|CHIP | $1,145 |
| Wellpoint | Medicaid|STARKIDS | $1,145 |
| UHC | Medicaid|CHIP | $1,168 |
| UHC | Medicaid|STARKIDS | $1,168 |
| BCBS | Medicaid|All Plans | $1,202 |
| CHC | Medicaid|All Other Plans | $1,317 |
| Aetna-Kelsey Care | Commercial|HMO | $1,528 |
| UHC | Medicaid|STAR | $1,568 |
| Aetna | Commercial|HMO | $1,842 |
| Healthsmart | Commercial|AP3-PPO | $1,929 |
| 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 |
| AETNA | Medicare|All Plans | $3,315 |
| Amerivantage | Medicare|All Plans | $3,347 |
| UHC | Medicaid|STARPLUS | $3,572 |
| 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 |
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All common services at St. Luke's Health - Springwoods Village Hospital