Knee arthroscopy at Sierra Nevada Memorial Hospital. CPT 29881.
What Sierra Nevada Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$790–$20,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Partnership Health Plan | Medicaid|< 21 | $790 |
| Partnership Health Plan | Medicaid|> 21 | $790 |
| BCBS - Anthem | Medicaid|All Plans | $1,083 |
| California Health & Wellness | Medicaid|All Plans | $1,786 |
| Health Net | Medicaid|All Plans | $1,786 |
| Hill Physicians | Commercial|All Plans | $4,264 |
| Humana | Commercial|All Plans | $4,264 |
| Aetna | Medicare|All Plans | $4,264 |
| BCBS - Anthem | Medicare|All Plans | $4,264 |
| Blue Shield CA | Medicare|All Plans | $4,264 |
| Health Net | Medicare|All Plans | $4,264 |
| Humana | Medicare|All Plans | $4,264 |
| Kaiser | Medicare|All Plans | $4,264 |
| United | Medicare|All Plans | $4,264 |
| Blue Shield CA | Commercial|Exchange | $5,248 |
| Blue Shield CA | Commercial|ACO Trio | $6,706 |
| BCBS - Anthem | Commercial|Exchange | $7,902 |
| Blue Shield CA | Commercial|All Other Plans | $8,139 |
| BCBS - Anthem | Commercial|All Other Plans | $9,083 |
| BCBS - Anthem | Commercial|MCS | $11,354 |
| Aetna | Commercial|All Other Plans | $11,676 |
| Aetna | Commercial|HMO | $11,676 |
| Aetna | Commercial|PPO | $11,676 |
| Health Net | Commercial|FFS | $20,209 |
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