Knee arthroscopy at Providence Mission Hospital - Mission Viejo. CPT 29881.
What Providence Mission Hospital - Mission Viejo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$3,577–$16,361range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | Oscar All Commercial Plans | $3,577 |
| Aetna | Medicare Managed Care Plan | $4,208 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,409 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,966 |
| Healthnet | Ambetter Hmo | $7,785 |
| Unitedhealthcare | Select/Navigate Hmo | $7,883 |
| Unitedhealthcare | All Commercial Plans | $8,704 |
| Blue Shield | Epn Exchange | $9,779 |
| Healthnet | Hmo/Pos/Ppo | $9,990 |
| Aetna | Gatekeeper Hmo | $11,790 |
| Blue Shield | Tandem Ppo | $12,151 |
| Blue Shield | Hmo/Ppo | $13,509 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $13,634 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $16,361 |
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All common services at Providence Mission Hospital - Mission Viejo