Knee arthroscopy at Southern California Hospital at Hollywood. CPT 29881.
What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$52.79–$10,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $52.79 |
| Blue Shield of California | HMO | $60.50 |
| Blue Shield of California | EPO/PPO/Out of State | $65.87 |
| Blue Shield Promise | Medi-Cal | $551 |
| Health Net of California | Managed Medi-Cal | $606 |
| Aids Healthcare Foundation | Managed Medi-Cal | $771 |
| Aetna | All Gatekeeper Plans | $1,476 |
| Aetna | All Non-Gatekeeper Plans | $1,476 |
| Aetna | Medicare Advantage | $3,245 |
| Alignment Health Plan | Medicare Advantage | $3,245 |
| Central Health Plan | Medicare Advantage | $3,245 |
| Health Net of California | Medicare Advantage | $3,245 |
| Kaiser | Medicare Advantage/Medi-Cal | $3,245 |
| LA Care | Medicare Advantage/Covered California | $3,245 |
| Legacy Health Plan | Medicare Advantage | $3,245 |
| Molina | Medicare Advantage | $3,245 |
| Optum Health | Commercial HMO | $3,245 |
| United Healthcare | Medicare Advantage | $3,245 |
| Anthem Blue Cross | Medicare Advantage | $3,245 |
| Blue Shield of California | Medicare Advantage | $3,245 |
| Humana | Medicare Advantage | $3,245 |
| Bright Health | Medicare Advantage | $3,310 |
| Aids Healthcare Foundation | Medicare Advantage | $3,310 |
| Easy Choice (WellCare) | Medicare Advantage | $3,310 |
| Imperial Health Plan | Medicare Advantage | $3,310 |
| Optum Health | Medicare Advantage | $3,310 |
| Clever Care | Medicare Advantage | $3,310 |
| Patient Choice | Medicare Advantage | $3,407 |
| Prime Health Services | Medicare Advantage | $3,407 |
| Bright Health | Covered California | $3,569 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Southern California Hospital at Hollywood