Knee arthroscopy at Essentia Health St. Mary's-Detroit Lakes. CPT 29881.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,166–$14,249range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS MN | Medicaid | $2,166 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $2,166 |
| Primewest | Medicaid | $3,121 |
| Itasca Med Care | Medicaid | $3,245 |
| Advocare/Security Health | Medicare | $3,410 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $3,410 |
| Freedom Blue PPO | Medicare | $3,410 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $3,410 |
| IMCARE MSHO PCC PRIME | Medicare | $3,410 |
| IMCARE MSHO REF REQ | Medicare | $3,410 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $3,410 |
| MEDICA MSHO/Dual Solutions | Medicare | $3,410 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $3,410 |
| MEDICARE ADV PFFS | Medicare | $3,410 |
| ND VA ADMINISTRATION | Medicare | $3,410 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $3,410 |
| PRIMEWEST MSHO | Medicare | $3,410 |
| Platinum Blue/Vantage Blue | Medicare | $3,410 |
| SECURE BLUE MSHO | Medicare | $3,410 |
| SECURITY HEALTH MEDICARE | Medicare | $3,410 |
| UBH COST PLAN | Medicare | $3,410 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $3,410 |
| UBH MSHO | Medicare | $3,410 |
| UCARE MSHO | Medicare | $3,410 |
| UHC MEDICARE ADVANTAGE | Medicare | $3,410 |
| Sanford HealthPlan | Commercial | $5,746 |
| Sanford HealthPlan | Commercial-NDPERS | $5,746 |
| MN BCBS Commercial | BCBS MN | $14,249 |
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All common services at Essentia Health St. Mary's-Detroit Lakes