Knee arthroscopy at Sequoia Hospital. CPT 29881.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$640–$24,988range insurers pay

Insurance plan	Negotiated rate
Brown Toland \| Medicare\|All Plans	$640
BCBS - Anthem \| Medicaid\|< 21	$790
BCBS - Anthem \| Medicaid\|> 21	$790
Kaiser \| Medicaid\|< 21	$790
Kaiser \| Medicaid\|> 21	$790
Partnership Health Plan \| Medicaid\|< 21	$790
Partnership Health Plan \| Medicaid\|> 21	$790
Health Net \| Medicaid\|< 21	$972
Health Net \| Medicaid\|> 21	$972
Health Plan San Mateo \| Medicaid\|< 21	$972
Health Plan San Mateo \| Medicaid\|> 21	$972
Health Net \| Commercial\|Canopy Health	$4,758
Humana \| Commercial\|All Plans	$4,758
Aetna \| Medicare\|All Plans	$4,758
BCBS - Anthem \| Medicare\|All Plans	$4,758
Blue Shield CA \| Medicare\|All Plans	$4,758
Chinese Community \| Medicare\|All Plans	$4,758
Health Net \| Medicare\|All Plans	$4,758
Health Plan San Mateo \| Medicare\|All Plans	$4,758
Humana \| Medicare\|All Plans	$4,758
Kaiser \| Medicare\|All Plans	$4,758
United \| Medicare\|All Plans	$4,758
Brown Toland \| Commercial\|All Plans	$5,234
Aetna \| Commercial\|All Plans	$7,494
Blue Shield CA \| Commercial\|Exchange	$7,886
Blue Shield CA \| Commercial\|ACO Trio	$8,124
Blue Shield CA \| Commercial\|All Other Plans	$10,525
Health Net \| Commercial\|FFS	$11,896
BCBS - Anthem \| Commercial\|All Other Plans	$14,742
Sutter Health \| Commercial\|All Plans	$14,893

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