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Knee arthroscopy at Stanford Health Care Tri-Valley. CPT 29881.

What Stanford Health Care Tri-Valley publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$6,448–$13,310range insurers pay
Insurance planNegotiated rate
Cigna | HMO$6,448
Aetna | HMO$7,945
Blue Shield | Value Network/IFP Benefit Other Commercial Plan$8,704
UnitedHealthCare | All Commercial Plans$8,768
Blue Shield | HMO/POS$10,480
Blue Shield | PPO/EPO$10,480
Aetna | PPO/POS$13,310
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All common services at Stanford Health Care Tri-Valley