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Knee arthroscopy at Providence St Joseph Hospital Orange. CPT 29881.

What Providence St Joseph Hospital Orange 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–$16,838range insurers pay
Insurance planNegotiated 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$9,230
Blue Shield | Epn Exchange$9,400
Healthnet | Hmo/Pos/Ppo$9,990
Unitedhealthcare | All Commercial Plans$10,117
Aetna | Gatekeeper Hmo$11,564
Blue Shield | Tandem Ppo$11,651
Blue Shield | Hmo/Ppo$12,948
Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans$14,032
Blue Cross | Anthem Mcs (Indx) All Commercial Plans$16,838
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All common services at Providence St Joseph Hospital Orange