Knee arthroscopy at UnityPoint Health - St. Lukes Downtown. CPT 29881.
What UnityPoint Health - St. Lukes Downtown publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$1,330cash price (self-pay)
$2,493list price
$432–$8,660range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $491 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $501 |
| Molina | Medicare Advantage | $501 |
| Humana | Medicare Advantage | $515 |
| United Healthcare | Medicare Advantage | $515 |
| Amerivantage | Medicare Advantage | $515 |
| Nebraska Total Care | Managed Medicaid | $648 |
| Avera Health Plan | Commercial | $736 |
| Health Partners Open Network | Commercial | $1,055 |
| Wellmark UPH Self-Funded | Commercial | $1,068 |
| Wellmark Blue Cross and Blue Shield | HMO | $1,068 |
| Aetna | HMO | $1,205 |
| Wellmark Blue Cross and Blue Shield | PPO | $1,256 |
| Cigna/Midlands | Commercial | $1,305 |
| Aetna | PPO | $1,466 |
| United Healthcare | PPO | $1,662 |
| United Healthcare | HMO | $1,662 |
| Iowa Total Care | Managed Medicaid | $2,874 |
| Amerigroup | Managed Medicaid | $2,874 |
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All common services at UnityPoint Health - St. Lukes Downtown