Knee arthroscopy at Gundersen St. Elizabeth Hospital and Clinics. CPT 29881.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$377–$6,686range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $377 |
| Group Health of South Central | Medicaid HMO | $377 |
| Iowa Total Care | Medicaid | $377 |
| Managed Health Service | Managed Medicaid | $377 |
| Quartz | Medicaid_Badgercare | $377 |
| South County | Managed Medicaid | $377 |
| Medica | AccessAbilty Solution | $1,471 |
| Medica | Minnesota Care | $1,471 |
| Medica | All Products | $4,592 |
| Alliance | Premier/All Products | $6,686 |
| Alliance | Comprehensive/All Products | $6,686 |
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All common services at Gundersen St. Elizabeth Hospital and Clinics