Knee arthroscopy at UCLA Santa Monica Medical Center. CPT 29881.
What UCLA Santa Monica Medical Center publishes for this service, straight from its standard-charges file, last updated March 29, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$4,123–$12,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Medicare Advantage | $4,123 |
| LA Care DSNP | Medicare HMO | $4,123 |
| Monarch | Medicare | $4,123 |
| UHC Mediare Advantage | Medicare Advantage | $4,123 |
| Aetna Medicare | Medicare | $4,208 |
| Redlands Community Medicare | Medicare | $4,208 |
| St. Jude | Medicare HMO | $4,208 |
| TriWest Healthcare Alliance | Other Government | $4,208 |
| UCLA Health Medicare Advantage Plan | Medicare Advantage | $4,208 |
| Health Plan of Nevada Medicare | Medicare | $4,247 |
| Anthem Vivity-Anthem HMO | All Products-HMO | $4,492 |
| Providence Healthcare | Medicare | $4,535 |
| Torrance Memorial Medicare | HMO-Medicare | $4,535 |
| Central Health Plan | Medicare HMO | $4,853 |
| Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $5,041 |
| HealthSmart | Workers Compensation | $5,050 |
| SCAN | Medicare | $5,566 |
| LA Care Covered CA | HMO | $5,662 |
| Blue Shield | EPN | $7,416 |
| Blue Shield | All Products | $9,890 |
| Centivo | PPO | $10,100 |
| Health Plan of Nevada Commercial | All Products | $11,723 |
| Anthem Blue Cross | All Products | $11,883 |
| Optum | Medicare | $12,078 |
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