Knee arthroscopy at M Health Fairview Southdale Hospital. CPT 29881.
What M Health Fairview Southdale Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$30.70cash price (self-pay)
$1,112list price
$28.84–$7,422range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | PMAP | $373 |
| Itasca Medical Care | Managed Medicaid | $373 |
| Primewest | Managed Medicaid | $373 |
| South Country Health Alliance | PMAP | $373 |
| UCare | PMAP | $380 |
| Medica | Managed Medicaid/AccessAbility | $397 |
| Hennepin Health | PMAP | $422 |
| 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 |
| South Country Health Alliance | Medicare Advantage | $505 |
| United Healthcare | Medicare Advantage | $505 |
| WellCare | Medicare Advantage | $505 |
| Blue Cross of Minnesota | Medicare Advantage | $525 |
| Health Partners | Medicare Advantage | $536 |
| Medica | Medicare Advantage Non-SNP | $543 |
| UCare | Medicare Advantage/MSHO | $546 |
| Medica | MSHO/Medicare Advantage SNP | $554 |
| Health Partners | Medicare Cost | $554 |
| America's PPO | EZCare | $845 |
| America's PPO | Health EZ | $845 |
| America's PPO | Commercial | $879 |
| First Health | Commercial | $912 |
| UCare | Individual and Family with M Health Fairview | $1,333 |
| UCare | Individual and Family | $1,404 |
| Medica | Bold | $1,588 |
| United Healthcare | Commercial | $1,624 |
| United Healthcare | Core | $1,624 |
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