Knee arthroscopy at Aurora St. Luke's South Shore of Aurora Health Care Metro. CPT 29881.
What Aurora St. Luke's South Shore of Aurora Health Care Metro publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
—cash price (self-pay)
—list price
$8,181–$15,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | Employee Trust Fund | $8,181 |
| Common Ground | Envision | $8,181 |
| Common Ground | Exchange | $8,181 |
| Aetna | HMO | $8,243 |
| Aurora Caregiver | Commercial | $8,450 |
| Anthem | Blue Priority | $8,456 |
| Quartz One | Commercial | $8,690 |
| Everpointe Elite | Commercial | $9,244 |
| HS Technology | Commercial | $10,017 |
| Quartz Group | Commercial | $10,170 |
| Molina Exchange | Commercial | $10,418 |
| Anthem | Blue Preferred | $10,914 |
| Wisconsin Physician Service | Aurora Featured | $11,451 |
| Centivo | Commercial | $11,473 |
| United Healthcare | Exchange | $11,511 |
| United Healthcare | Charter | $11,594 |
| United Healthcare | Nexus | $11,594 |
| Wisconsin Physician Service | Arise | $12,054 |
| Wisconsin Physician Service | Statewide | $12,054 |
| Health Payment Systems | Commercial | $12,100 |
| United Healthcare | HMO | $12,631 |
| Trilogy | Commercial | $13,453 |
| Cigna | PPO-GPPO | $15,250 |
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All common services at Aurora St. Luke's South Shore of Aurora Health Care Metro