Knee arthroscopy at Aspirus Divine Savior Hospital. CPT 29881.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,852cash price (self-pay)
$4,387list price
$72.10–$23,837range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $72.10 |
| Tricare West | Tricare Plans | $397 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $487 |
| Quartz Health Solutions, Inc. | Quartz Medicare Advantage Plans | $487 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $504 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $544 |
| Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $555 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $1,048 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $1,924 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $2,615 |
| Aetna | Medicare Advantage Esa | $3,178 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $3,242 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $3,274 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $3,641 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $3,861 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $4,110 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $4,323 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $6,674 |
| Dean Health Plan | Dean Health Plan Commercial Aso Hmo | $7,560 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $7,560 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $12,277 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $12,277 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Indemni | $12,277 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $12,277 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier | $12,277 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $13,830 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.