Knee arthroscopy at Gundersen Lutheran Medical Center. CPT 29881.
What Gundersen Lutheran Medical Center publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$935–$16,052range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ICare | Medicaid HMO | $935 |
| Amerigroup | Medicaid HMO | $963 |
| Anthem | Medicaid | $963 |
| Group Health Eau Claire | Medicaid HMO | $963 |
| Group Health of South Central | Medicaid HMO | $963 |
| Iowa Total Care | Medicaid | $963 |
| Managed Health Service | Managed Medicaid | $963 |
| Molina Health | Managed Medicaid | $963 |
| Quartz | Medicaid_Badgercare | $963 |
| UHC | Medicaid | $963 |
| Bcbsmn | Mhcp | $1,350 |
| UCARE | Dually Eligible | $3,084 |
| UCARE | Non-Dually Eligible | $3,084 |
| UCARE | MSHO/Minnesota Special Needs | $3,238 |
| Aetna | Medicare Advantage | $3,467 |
| Amerigroup | Medicare Advantage | $3,467 |
| Anthem | Medicare HMO/PPO | $3,467 |
| Health Partners | Medicare Advantage | $3,467 |
| iCare | Medicare Advantage | $3,467 |
| Medical Associates | Medicare Advantage | $3,467 |
| Quartz | Medicare Advantage | $3,467 |
| UHC | Medicare Advantage | $3,467 |
| Medical Associates | All Products | $5,195 |
| BCBSMN | All Products | $6,505 |
| Anthem | State Specific | $10,901 |
| Anthem | HMO/POS | $12,021 |
| Alliance | Premier/All Products | $13,371 |
| Alliance | Comprehensive/All Products | $15,377 |
| Anthem | PPO | $16,052 |
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