Knee arthroscopy at Memorial Hospital of South Bend. CPT 29881.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,528–$10,552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial (Granger) | $1,528 |
| McLaren | MI Medicaid | $1,822 |
| UHC | MI Medicaid | $1,822 |
| Anthem | IN Medicaid HCC | $2,274 |
| Anthem | IN Medicaid HHW | $2,274 |
| Anthem | IN Medicaid HIP | $2,274 |
| Anthem | Pathways for Aging | $2,274 |
| Caresource | IN Medicaid HHW | $2,274 |
| Caresource | IN Medicaid HIP | $2,274 |
| Humana | Pathways for Aging | $2,274 |
| MHS | IN Medicaid HCC | $2,274 |
| MHS | IN Medicaid HHW | $2,274 |
| MHS | IN Medicaid HIP | $2,274 |
| MdWise | IN Medicaid HHW | $2,274 |
| MdWise | IN Medicaid HIP | $2,274 |
| UHC | IN Medicaid HCC | $2,274 |
| UHC | Pathways for Aging | $2,274 |
| Aetna | Medicare Advantage | $3,399 |
| Anthem | Exchange | $3,399 |
| Anthem | Medicare Advantage | $3,399 |
| Humana | Medicare Advantage | $3,399 |
| PACE | Medicare | $3,399 |
| UHC | Medicare Advantage | $3,399 |
| Devoted Healthcare | Medicare Advantage | $3,569 |
| Plain Church | Commercial | $5,098 |
| Caresource | Exchange | $5,438 |
| MHS | Exchange | $6,118 |
| Anthem | Workers Compensation | $6,458 |
| Anthem | HealthSync | $8,969 |
| Anthem | Commercial (excludes Granger) | $10,552 |
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