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Knee arthroscopy at Providence St Peter Hospital. CPT 29881.

What Providence St Peter Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$3,199–$14,701range insurers pay
Insurance planNegotiated rate
Kaiser | Medicare Managed Care Plan$3,763
Aetna | Gatekeeper Medicare Managed Care - Hmo$3,876
Aetna | Non-Gatekeeper Medicare Managed Care - Ppo$3,914
Unitedhealthcare | Medicare Managed Care Plan$4,026
Blue Shield | Regence Medicare Managed Care Plan$4,064
Humana | Medicare Managed Care Plan$4,139
Community Health Plan | Medicare Managed Care Plan$6,021
Molina | Exchange$6,360
Blue Cross | Premera Lifewise Exchange$6,774
Unitedhealthcare | Navigate Other Commercial Plan$6,892
Coordinated Care | Ambetter Exchange$6,962
Cigna | All Commercial Plans$7,307
Unitedhealthcare | Aco Tiered Other Commercial Plan$8,554
Aetna | All Commercial Plans$9,351
Blue Cross | Premera Heritage Signature Other Commercial Plan$9,921
Blue Cross | Premera All Commercial Plans$10,142
Kaiser | All Commercial Plans$11,974
Providence Health Plan | Signature/Choice Network Other Commercial Pla$12,286
First Choice | All Commercial Plans$12,866
Unitedhealthcare | All Commercial Plans$14,701
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All common services at Providence St Peter Hospital