Knee arthroscopy at Lewisgale Hospital-montgomery. CPT 29881.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$4,250–$22,768range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Universal Healthcare Group | MCR | $4,250 |
| Lifeworks | MCR | $4,950 |
| Anthem | HIX | $6,464 |
| Anthem | HMO | $7,181 |
| Anthem | PPO | $7,181 |
| Sentara Optima Health | HMO | $8,403 |
| Sentara Optima Health | POS | $8,403 |
| Sentara Optima Health | PPO | $8,403 |
| Aetna | SharedSavings | $14,676 |
| United | AllPayerAppendix | $16,142 |
| Aetna | Broad | $22,768 |
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