Knee arthroscopy at Gundersen Moundview Hospital and Clinics. CPT 29881.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$963–$10,711range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $963 |
| UHC | All Payer Appendix | $4,017 |
| Anthem | Medicaid | $6,053 |
| Group Health Eau Claire | Medicaid HMO | $6,053 |
| Group Health of South Central | Medicaid HMO | $6,053 |
| Iowa Total Care | Medicaid | $6,053 |
| Managed Health Service | Managed Medicaid | $6,053 |
| Quartz | Medicaid_Badgercare | $6,053 |
| Alliance | Premier/All Products | $6,686 |
| Alliance | Comprehensive/All Products | $7,101 |
| Anthem | State Specific | $8,286 |
| Anthem | HMO/POS | $8,722 |
| Anthem | PPO | $10,711 |
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All common services at Gundersen Moundview Hospital and Clinics