Knee arthroscopy at Los Angeles Community Hospital. CPT 29881.
What Los Angeles Community Hospital publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$168–$10,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Commercial/IFP | $168 |
| Blue Shield Promise | Medi-Cal | $551 |
| Health Net of California | Managed Medi-Cal | $606 |
| Aids Healthcare Foundation | Managed Medi-Cal | $771 |
| Aetna | All Gatekeeper Plans | $1,476 |
| Aetna | All Non-Gatekeeper Plans | $1,476 |
| Alignment Health Plan | Medicare Advantage | $3,245 |
| Anthem Blue Cross | Medicare Advantage | $3,245 |
| Blue Shield of California | Medicare Advantage | $3,245 |
| Care First Health Plan | Medicare Advantage | $3,245 |
| Central Health Plan | Medicare Advantage | $3,245 |
| Easy Choice Health Plan (WellCare) | Medicare Advantage | $3,245 |
| Health Net of California | Medicare Advantage | $3,245 |
| Humana | Medicare Advantage | $3,245 |
| LA Care | Medicare Advantage | $3,245 |
| Legacy Health Plan | Medicare Advantage | $3,245 |
| Optum Health | Commercial HMO | $3,245 |
| Molina | Medicare Advantage | $3,245 |
| Aids Healthcare Foundation | Medicare Advantage | $3,310 |
| Clever Care | Medicare Advantage | $3,310 |
| Imperial Health Plan | Medicare Advantage | $3,310 |
| Optum Health | Medicare Advantage | $3,310 |
| Patient Choice | Medicare Advantage | $3,407 |
| Prime Health Services | Medicare Advantage | $3,407 |
| United Healthcare | Managed Care | $4,110 |
| Cigna | HMO/PPO | $4,547 |
| Naphcare | Commercial | $4,867 |
| Anthem Blue Cross | Commercial HMO-PPO/Covered California | $8,367 |
| Anthem Blue Cross | PPG | $10,458 |
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