Knee arthroscopy at St. Mary Medical Center. CPT 29881.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$711–$14,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Noble IPA | Medicaid|< 21 | $711 |
| Noble IPA | Medicaid|> 21 | $711 |
| BCBS - Anthem | Medicaid|All Plans | $790 |
| HCLA | Medicaid|Preferred IPA < 21 | $790 |
| HCLA | Medicaid|Preferred IPA > 21 | $790 |
| Inland Empire Health Plan | Medicaid|All Plans | $790 |
| Partnership Health Plan | Medicaid|< 21 | $790 |
| Partnership Health Plan | Medicaid|> 21 | $790 |
| Preferred IPA | Medicaid|Risk | $790 |
| Angeles IPA | Medicare|All Plans | $790 |
| Health Net | Medicaid|< 21 | $1,054 |
| Health Net | Medicaid|> 21 | $1,054 |
| Molina | Medicaid|All Plans | $1,106 |
| Kaiser | Medicaid|< 21 | $1,186 |
| Kaiser | Medicaid|> 21 | $1,186 |
| LA Care | Medicaid|All Plans | $3,256 |
| Blue Shield CA | Medicaid|All Plans | $3,952 |
| Care 1st | Medicaid|All Plans | $3,952 |
| BCBS - Anthem | Medicare|All Plans | $4,123 |
| Blue Shield CA | Medicare|All Other Plans | $4,123 |
| Central Health Plan | Medicare|All Plans | $4,123 |
| Cigna | Medicare|All Plans | $4,123 |
| EasyChoice | Medicare|All Plans | $4,123 |
| HCLA | Medicare|Preferred IPA | $4,123 |
| Health Net | Medicare|All Other Plans | $4,123 |
| Health Net | Medicare|HMO | $4,123 |
| Humana | Medicare|All Plans | $4,123 |
| Kaiser | Medicare|All Plans | $4,123 |
| LA Care | Medicare|All Plans | $4,123 |
| Molina | Medicare|All Plans | $4,123 |
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