Knee arthroscopy at Los Robles Hospital And Medical Center. CPT 29881.
What Los Robles Hospital And Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$103–$30,879range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Brand New Day | MCD | $150 |
| Gold Coast Health Plan | MCD | $150 |
| Physician Health Network | MGMCD | $150 |
| MedCare Partners | MGMCR | $4,208 |
| Cigna | HMO | $7,693 |
| Cigna | PPO | $7,693 |
| Anthem | ExchangeEPO | $10,705 |
| Anthem | ExchangeHMO | $10,705 |
| Anthem | COMM | $11,297 |
| Bright Health | COMM | $14,251 |
| Health Net | COMM | $14,560 |
| Aetna | EPO | $15,803 |
| Aetna | HMO | $16,402 |
| United | AllPayerAppendix | $17,755 |
| Aetna | PPO | $17,855 |
| Blue Shield | EPN | $21,611 |
| Blue Shield | COMM | $30,879 |
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All common services at Los Robles Hospital And Medical Center