Knee arthroscopy at Good Samaritan Hospital. CPT 29881.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$93.24–$18,309range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Physicians Medical Group | MCD | $136 |
| Anthem | Medi-Cal | $150 |
| Physician Health Network | MGMCD | $150 |
| Santa Clara Family Health Plan | Medicaid | $2,950 |
| MultiPlan | Primary | $3,439 |
| MedCare Partners | MGMCR | $4,813 |
| Bright Health | COMM | $4,850 |
| Cigna | LocalPlus | $6,672 |
| Anthem | ExchangeEPO | $6,939 |
| Cigna | HMO | $7,098 |
| Cigna | POS | $7,098 |
| Cigna | PPO | $7,098 |
| Anthem | BlueConnection | $7,323 |
| Anthem | COMM | $7,323 |
| Aetna | AWH | $8,565 |
| Aetna | HMO | $8,740 |
| Health Net | COMM | $12,480 |
| Blue Shield | COMM | $14,666 |
| Blue Shield | EPN | $14,666 |
| United | AllPayerAppendix | $15,475 |
| Aetna | PPO | $18,309 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.