Knee arthroscopy at Gundersen Palmer Lutheran Hospital and Clinic. CPT 29881.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$963–$6,686range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $963 |
| Molina Health | Managed Medicaid | $963 |
| Wellmark | HMO | $4,995 |
| Wellmark | Indemnity/PPO | $5,485 |
| Alliance | Premier/All Products | $6,686 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic