Knee arthroscopy at Grand Itasca Clinic and Hospital. CPT 29881.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$38.05cash price (self-pay)
$2,467list price
$52.73–$6,406range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Medical Care | Managed Medicaid | $373 |
| Primewest | Managed Medicaid | $373 |
| Health Partners | PMAP | $373 |
| Medica | Medicare Advantage Non-SNP | $397 |
| Medica | AccessAbility | $397 |
| Medica | Managed Medicaid | $397 |
| UCare | PMAP | $410 |
| Blue Cross of Minnesota | PMAP | $424 |
| Itasca Medical Care | Medicare Advantage/MSHO | $505 |
| Primewest | MSHO | $505 |
| Sanford Health Plan | Medicare Advantage | $505 |
| Security Health Plan | Medicare Advantage | $505 |
| United Healthcare | Medicare Advantage | $505 |
| WellCare | Medicare Advantage | $505 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $505 |
| Blue Cross of Minnesota | Medicare Advantage | $525 |
| UCare | Medicare Advantage/MSHO | $530 |
| Health Partners | Medicare Advantage | $536 |
| Health Partners | Medicare Cost | $554 |
| UCare | Individual and Family Plans | $1,214 |
| Sanford Health Plan | Commercial | $1,453 |
| Medica | Commercial | $1,454 |
| United Healthcare | Commercial | $1,624 |
| Blue Cross of Minnesota | Aware Federal | $1,729 |
| Health Partners | Federal | $1,756 |
| Blue Cross of Minnesota | Aware/Blue Plus | $1,760 |
| Health Partners | Commercial | $1,787 |
| Security Health Plan | Commercial | $1,801 |
| Health Partners | Cigna Commercial | $1,877 |
| First Health | Commercial | $2,023 |
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