Knee arthroscopy at Providence Holy Family Hospital. CPT 29881.
What Providence Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,646–$15,653range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $3,646 |
| Blue Cross | Premera Medicare Managed Care Plan | $3,792 |
| Unitedhealthcare | Medicare Managed Care Plan | $3,901 |
| Blue Shield | Asuris Medicare Managed Care Plan | $3,938 |
| Amerigroup | Medicare Managed Care Plan | $4,011 |
| Community Health Plan | Cascade Care Exchange | $5,834 |
| Cigna | All Commercial Plans | $6,264 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $6,563 |
| Coordinated Care | Ambetter Exchange | $6,745 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $6,813 |
| Blue Cross | Premera Heritage Exchange | $7,183 |
| Blue Cross | Premera All Commercial Plans | $9,190 |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Co | $9,571 |
| Kaiser | All Commercial Plans | $11,223 |
| Blue Shield | Asuris All Commercial Plans | $12,118 |
| Unitedhealthcare | Navigate Exchange | $12,966 |
| Unitedhealthcare | All Commercial Plans | $13,367 |
| Aetna | All Commercial Plans | $15,653 |
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