Knee arthroscopy at Loma Linda University Children's Hospital. CPT 29881.
What Loma Linda University Children's Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$926–$32,312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Inland Empire Health Plan (IEHP) | Medi-Cal | $926 |
| Kaiser Foundation Hospitals | Medi-Cal | $1,047 |
| Alpha Care Medical Group | Medicare Advantage/Dual Product | $4,208 |
| Dignity Health | Medicare Advantage | $4,208 |
| Inland Empire Health Plan (IEHP) | Medicare Advantage | $4,208 |
| Upland Medical Group | Pediatric | $4,208 |
| Vantage Medical Group | Senior | $4,208 |
| Blue Shield of California | Commercial | $4,574 |
| Alpha Care Medical Group | Medi-Cal | $4,629 |
| Dignity Health | Medi-Cal | $4,629 |
| EPIC Health Plan | Senior | $4,629 |
| Vantage Medical Group | Medi-Cal | $4,629 |
| Molina Healthcare of CA | Medi-Cal | $5,303 |
| Molina Healthcare of CA | Medicare | $5,639 |
| Kaiser Foundation Hospitals | Medicare Advantage | $5,892 |
| Alpha Care Medical Group | Commercial/Exchange | $6,313 |
| Dignity Health | Commercial/Exchange | $6,313 |
| Vantage Medical Group | Commercial/Exchange | $6,313 |
| Prime Health Services | WC | $6,502 |
| Multiplan | WC | $6,569 |
| Heritage Provider Network | Commercial/Senior | $6,902 |
| EPIC Health Plan | Commercial | $6,944 |
| Anthem Blue Cross of CA | HMO/PPO | $9,104 |
| United Healthcare | Select/Navigate/Core | $11,971 |
| United Healthcare | HMO Rider | $13,066 |
| United Healthcare | All Other HMO | $20,902 |
| Aetna of CA | HMO/PPO | $32,312 |
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All common services at Loma Linda University Children's Hospital