Knee arthroscopy at Providence Saint John's Health Center. CPT 29881.
What Providence Saint John's Health Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,160–$12,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Medicare Managed Care Plan | $2,160 |
| Aetna | Medicare Managed Care Plan | $4,208 |
| Humana | Choicecare Medicare Managed Care Plan | $4,293 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $4,409 |
| Central Health Plan | Medicare Managed Care Plan | $4,629 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $4,966 |
| Blue Shield | Epn/Ifp Benefit Exchange | $5,115 |
| La Care Health Plan | Covered Ca Exchange | $5,471 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $7,218 |
| Healthnet | Blue And Gold Other Commercial Plan | $7,332 |
| Healthnet | Ambetter Hmo | $7,785 |
| Blue Shield | Hmo | $8,018 |
| Blue Shield | Ppo/Epo | $8,018 |
| Blue Cross | All Commercial Plans | $8,365 |
| Healthnet | Ambetter Ppo | $9,006 |
| Unitedhealthcare | Select/Navigate Hmo | $9,834 |
| Unitedhealthcare | All Commercial Plans | $11,155 |
| Healthnet | All Commercial Plans | $11,827 |
| Cigna | All Commercial Plans | $12,557 |
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All common services at Providence Saint John's Health Center