Knee arthroscopy at Ukiah Adventist Hospital. CPT 29881.
What Ukiah Adventist Hospital publishes for this service, straight from its standard-charges file, last updated May 24, 2026.
Outpatient / ER
$52.00cash price (self-pay)
$348list price
$66.41–$1,721range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Mcs-All Other Plans | Blue Cross Mcs-All Other Plans | $66.41 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $66.41 |
| Mendocino Lcc District-All Plans | Mendocino Lcc District-All Plans | $226 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $278 |
| Three Rivers-All Plans | Three Rivers-All Plans | $313 |
| Kaiser Medi-Cal | Kaiser Medi-Cal | $348 |
| Medi-Cal | Medi-Cal | $348 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $521 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $521 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $521 |
| Aetna-All Plans | Aetna-All Plans | $557 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $573 |
| Cigna-All Plans | Cigna-All Plans | $666 |
| UHC Jll Csp 1/1/25 | UHC Jll Csp 1/1/25 | $684 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $711 |
| Western Growers-All Plans | Western Growers-All Plans | $745 |
| Healthnet-All Plans | Healthnet-All Plans | $759 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $813 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $859 |
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