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Knee arthroscopy at Froedtert Holy Family Memorial Hospital. CPT 29881.

What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.

Outpatient / ER

—cash price (self-pay)
—list price
$3,086–$13,918range insurers pay
Insurance planNegotiated rate
Anthem Blue Cross Blue Shield | Medicare Advantage$3,086
Community Care Incorporated | Medicare Advantage$3,086
Health Partners | Medicare Advantage$3,086
Humana | Medicare Advantage$3,086
ICare | Medicare Advantage$3,086
Molina | Medicare Advantage$3,086
Network Health Plan | Medicare Advantage$3,086
Security Health Plan | Medicare Advantage$3,086
United Healthcare | Medicare Advantage$3,086
Allwell | Medicare Advantage$3,148
Molina | Marketplace Plans$3,333
Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO$7,271
Network Health Plan | ACA$8,242
Network Health Plan | HMO$9,158
United Healthcare | Manitowoc Schools$9,278
United Healthcare | Nexus$9,869
United Healthcare Choice/Navigate | APA$11,598
United Healthcare Options | PPO$13,918
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All common services at Froedtert Holy Family Memorial Hospital