Knee arthroscopy at Arroyo Grande Hospital. CPT 29881.
What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$790–$16,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CenCal | Medicaid|< 21 | $790 |
| CenCal | Medicaid|> 21 | $790 |
| Partnership Health Plan | Medicaid|< 21 | $790 |
| Partnership Health Plan | Medicaid|> 21 | $790 |
| Health Net | Medicaid|< 21 | $1,196 |
| Health Net | Medicaid|> 21 | $1,196 |
| Aetna | Medicare|All Plans | $4,123 |
| Alignment | Medicare|All Plans | $4,123 |
| BCBS - Anthem | Medicare|All Plans | $4,123 |
| Humana | Medicare|All Plans | $4,123 |
| Kaiser | Medicare|All Plans | $4,123 |
| Scan Health Plan | Medicare|All Plans | $4,123 |
| United | Medicare|All Plans | $4,123 |
| Blue Shield CA | Commercial|Exchange | $8,484 |
| Aetna | Commercial|All Other Plans | $9,997 |
| Aetna | Commercial|HMO | $9,997 |
| Aetna | Commercial|PPO | $9,997 |
| Blue Shield CA | Commercial|FFS | $12,322 |
| BCBS - Anthem | Commercial|Non-MCS | $12,414 |
| BCBS - Anthem | Commercial|MCS | $16,635 |
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