Knee arthroscopy at Southeast Iowa Regional Medical Center West Burlington. CPT 29881.
What Southeast Iowa Regional Medical Center West Burlington publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
—cash price (self-pay)
$1,608list price
$412–$5,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| American Healthplan of Iowa - Midlevel | MEDICARE ADV. | $412 |
| Medicaid - Nurse Practitioner | MANAGED MEDICAID | $415 |
| Medicaid - Physician Assistant | MANAGED MEDICAID | $423 |
| Medicaid - Physician | MANAGED MEDICAID | $488 |
| Humana | MEDICARE ADV. | $503 |
| American Healthplan of Iowa - MD | MEDICARE ADV. | $514 |
| Elap | Primary | $875 |
| Elap | Specialty | $1,001 |
| Plain Church | ALL PRODUCTS | $1,045 |
| Wellmark Blue Cross - Anesthesiology | PPO | $1,068 |
| Wellmark Blue Cross - Pathologist | PPO | $1,068 |
| Midlands Choice | ALL PRODUCTS | $1,211 |
| Elap | Anesthesia | $1,251 |
| United Healthcare | ALL PRODUCTS | $1,259 |
| Aetna | FIRST HEALTH | $1,299 |
| Absolute Solutions | ALL PRODUCTS | $1,447 |
| First Agency | ALL PRODUCTS | $1,447 |
| Multiplan | ALL PRODUCTS | $1,447 |
| Henderson County | ALL PRODUCTS | $1,527 |
| Immergrun | ALL PRODUCTS | $2,106 |
| 6 Degree | ALL PRODUCTS | $2,674 |
| Wellmark Blue Cross | HMO | $5,079 |
| Wellmark Blue Cross | PPO | $5,577 |
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All common services at Southeast Iowa Regional Medical Center West Burlington