Knee arthroscopy at Providence Sacred Heart Medical Center and Children's Hospital. CPT 29881.
What Providence Sacred Heart Medical Center and Children's 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–$20,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $3,646 |
| Aetna | Medicare Managed Care - Hmo | $3,756 |
| Aetna | Medicare Managed Care - Ppo | $3,792 |
| Unitedhealthcare | Medicare Managed Care Plan | $3,828 |
| Blue Shield | Asuris Medicare Managed Care Plan | $3,938 |
| Community Health Plan | Medicare Managed Care Plan | $4,011 |
| Cigna | Medicare Managed Care Plan | $4,375 |
| Molina | Exchange | $6,162 |
| Blue Cross | Premera Heritage Signature Exchange | $6,502 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $6,563 |
| Coordinated Care | Exchange | $6,745 |
| Blue Cross | Premera All Commercial Plans | $8,402 |
| First Choice | All Commercial Plans | $8,486 |
| Kaiser | All Commercial Plans | $9,192 |
| Providence Health Plan | All Commercial Plans | $9,279 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $9,835 |
| Unitedhealthcare | Navigate Exchange | $10,759 |
| Cigna | All Commercial Plans | $11,397 |
| Unitedhealthcare | All Commercial Plans | $12,096 |
| Aetna | All Commercial Plans | $20,964 |
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All common services at Providence Sacred Heart Medical Center and Children's Hospital