Knee arthroscopy at Mercy San Juan Medical Center. CPT 29881.
What Mercy San Juan Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$568–$22,550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hill Physicians | Commercial|All Plans | $568 |
| United | Medicaid|< 21 | $790 |
| United | Medicaid|> 21 | $790 |
| Hill Physicians | Medicaid|All Plans | $869 |
| Molina | Medicaid|All Plans | $1,036 |
| BCBS - Anthem | Medicaid|All Plans | $1,502 |
| California Health & Wellness | Medicaid|All Plans | $1,810 |
| Health Net | Medicaid|All Plans | $1,810 |
| Partnership Health Plan | Medicaid|All Plans | $3,399 |
| BCBS - Anthem | Medicare|All Other Plans | $4,021 |
| Humana | Commercial|All Plans | $4,264 |
| Aetna | Medicare|All Plans | $4,264 |
| Blue Shield CA | Medicare|HMO | $4,264 |
| Blue Shield CA | Medicare|PPO | $4,264 |
| Humana | Medicare|All Plans | $4,264 |
| Kaiser | Medicare|All Plans | $4,264 |
| Molina | Medicare|All Plans | $4,264 |
| United | Medicare|All Plans | $4,264 |
| BCBS - Anthem | Medicare|Imperial | $4,392 |
| BrightHealth | Commercial|All Plans | $4,690 |
| BlueShield | Medicare|Trauma | $5,330 |
| Blue Shield CA | Commercial|ACO Trio | $6,260 |
| Prison Healthcare | Medicaid|All Plans | $6,396 |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7,977 |
| Blue Shield CA | Commercial|Exchange | $8,094 |
| Aetna | Commercial|All Other Plans | $10,361 |
| Aetna | Commercial|HMO | $10,361 |
| Aetna | Commercial|PPO | $10,361 |
| Blue Shield CA | Commercial|PPO Tandem | $10,639 |
| Blue Shield CA | Commercial|HMO | $11,829 |
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