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Knee arthroscopy at Intermountain Health Heber Valley Hospital. CPT 29881.

What Intermountain Health Heber Valley Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$87.00–$6,225range insurers pay
Insurance planNegotiated rate
TriWest | Veterans Choice$577
Intermountain Caregiver Plan | Med Network$5,450
AG Administrators | USU Athletics$6,225
AWH Connected | Connected Utah$6,225
Aetna | Standard$6,225
BYU Athletics | Commercial$6,225
Campbell Scientific | Commercial$6,225
Cigna | HMO$6,225
Cigna | PPO/EPO$6,225
Deseret Mutual | All Other$6,225
Deseret Mutual | Select$6,225
EMI Health | Mint$6,225
EMI Health | Network Care$6,225
EMI | Commercial$6,225
Franklin County | Commercial$6,225
Juniper Systems | Commercial$6,225
LW Miller | Commercial$6,225
Managed Care Admin | Commercial$6,225
MotivHealth | Commercial$6,225
PEHP | All Plans$6,225
PEHP | Capital Care$6,225
PEHP | Summit Exclusive$6,225
Prodegi Corp Benefit | Commercial$6,225
Regence BCBS | BlueOption$6,225
Tanner LLC | Commercial$6,225
UHC | Charter UT$6,225
UHC | Non-Options PPO$6,225
UHC | Options PPO$6,225
Utah Tech | Commercial$6,225
Wise Network | Commercial$6,225
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All common services at Intermountain Health Heber Valley Hospital