Knee arthroscopy at UCLA West Valley Medical Center. CPT 29881.
What UCLA West Valley 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–$9,894range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | MEDICARE ADVANTAGE | $4,123 |
| Anthem Medicare Advantage | MEDICARE ADVANTAGE | $4,123 |
| Blue Shield of California | Medicare Advantage | $4,123 |
| LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $4,123 |
| UHC Medicare | MEDICARE ADVANTAGE | $4,123 |
| HealthCare Partners HMO | HMO-Medicare | $4,208 |
| TriWest Healthcare Alliance | Other Government | $4,208 |
| UCLA Health Medicare Advantage Plan | Medicare Advantage | $4,208 |
| Health Net Medicare | MEDICARE ADVANTAGE | $4,247 |
| LA Care Commercial | PASC | $4,865 |
| LA Care Commercial | Covered CA | $5,153 |
| Anthem Workers Comp | WORKERS COMP | $5,576 |
| Anthem Vivity, Anthem HMO | HMO-City of LA | $5,581 |
| Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $6,287 |
| Centivo | PPO | $9,894 |
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