Knee arthroscopy at Adventist Health Medical Center Tehachapi. CPT 29881.
What Adventist Health Medical Center Tehachapi publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$70.20cash price (self-pay)
$348list price
$65.00–$1,281range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $65.00 |
| Universal Ipa Mcal Op/Profee Only | Universal Ipa Mcal Op/Profee Only | $65.00 |
| Healthnet Mcare | Healthnet Mcare | $525 |
| Tricare Blue Shield | Tricare Blue Shield | $525 |
| UHC Mcr Adv | UHC Mcr Adv | $525 |
| Universal Ipa Mcr Adv Op/Profee Only-All Other Pla | Universal Ipa Mcr | $525 |
| Network Providers- All Plans | Network Providers- All Plans | $572 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $577 |
| Aetna-All Plans | Aetna-All Plans | $598 |
| Oscar Health Plan- All Plans | Oscar Health Plan- All Plans | $604 |
| Cigna- All Plans | Cigna- All Plans | $622 |
| Coventry- All Plans | Coventry- All Plans | $630 |
| UHC All Payer- All Other Plans | UHC All Payer- All Other Plans | $711 |
| UHC Jll Csp | UHC Jll Csp | $711 |
| Western Grwrs/Pinnacle - All Plans | Western Grwrs/Pinnacle - All Plan | $730 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $765 |
| Centivo - All Plans | Centivo - All Plans | $787 |
| Blue Shield Epn- All Other Plans | Blue Shield Epn- All Other Plans | $813 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $859 |
| Blue Cross Non-Mcs- All Other Plans | Blue Cross Non-Mcs- All Other Pl | $1,281 |
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All common services at Adventist Health Medical Center Tehachapi