Knee arthroscopy at St Helena Hospital. CPT 29881.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$43.65cash price (self-pay)
$343list price
$65.00–$1,929range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $65.00 |
| Phcs-All Plans | Phcs-All Plans | $189 |
| Health Management Network-All Plans | Health Management Network-All Pl | $292 |
| Three Rivers-All Plans | Three Rivers-All Plans | $309 |
| Blue Shield Bh Mcr Adv | Blue Shield Bh Mcr Adv | $583 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $583 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $583 |
| Tricare Blue Shield | Tricare Blue Shield | $583 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $642 |
| Cigna-All Other Plans | Cigna-All Other Plans | $666 |
| Interplan-All Plans | Interplan-All Plans | $700 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $700 |
| UHC Jll | UHC Jll | $711 |
| UHC Select/Select Plus | UHC Select/Select Plus | $711 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $711 |
| UHC Options PPO | UHC Options PPO | $711 |
| Western Growers-All Plans | Western Growers-All Plans | $834 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $888 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $938 |
| Aetna-All Plans | Aetna-All Plans | $944 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $1,436 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $1,436 |
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