Knee arthroscopy at CHI Health Immanuel. CPT 29881.
What CHI Health Immanuel publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,022–$10,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|ACO | $1,022 |
| Amerigroup | Medicaid|All Plans | $2,672 |
| Centene | Medicaid|IA Total Care | $2,672 |
| IAMolina | Medicaid|All Plans | $2,725 |
| BCBS - NE | Medicare|All Plans | $3,162 |
| Humana | Medicare|All Plans | $3,162 |
| Medica | Medicare|All Plans | $3,162 |
| PACE | Medicare|All Plans | $3,162 |
| United | Medicare|All Plans | $3,162 |
| Todays Options | Medicare|All Plans | $3,225 |
| Centene | Medicare|All Plans | $3,257 |
| Amerigroup | Medicare|All Plans | $3,320 |
| Great Plains | Medicare|All Plans | $3,320 |
| Medica | Commercial|CHI Health | $4,801 |
| Medica | Commercial|All Other Plans | $6,546 |
| AMPS | Commercial|All Plans | $7,020 |
| Greater Omaha Packing | Commercial|Narrow Network | $9,186 |
| Millard Public Schools | Commercial|Narrow Network | $9,186 |
| One World | Commercial|Narrow Network | $9,186 |
| Greater Omaha Packing | Commercial|Broad Network | $10,564 |
| Millard Public Schools | Commercial|Broad Network | $10,564 |
| One World | Commercial|Broad Network | $10,564 |
| Timpte | Commercial|Broad Network | $10,564 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.