Knee arthroscopy at Victor Valley Global Medical Center. CPT 29881.
What Victor Valley Global Medical Center publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$650–$50,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LaSalle Medical Assoc | LaSalle Medical Assoc (Ancillary) MCAL HMO | $650 |
| Brand New Day | Brand New Day Medi-Cal | $661 |
| Health Net | Health Net Medi-Cal HMO | $790 |
| Heritage Provider Network | Heritage Provider Network Med-Cal | $790 |
| Inland Faculty Medical Group | Inland Faculty Med Grp MCAL HMO | $790 |
| Kaiser | Kaiser Medi-cal HMO | $790 |
| Medi-Cal HMO Non-Contract | Medi-Cal HMO Non-Contract | $790 |
| Medi-Cal/Medicaid | Medi-Cal/Medicaid | $790 |
| Vantage Medical Group | Vantage Medical Group Ancillary | $790 |
| Prospect Health Plan | Prospect Health Plan MCAL HMO | $869 |
| Molina Healthcare | Molina Medi-Cal HMO | $933 |
| AltaMed | AltaMed Health Services MCAL HMO | $1,106 |
| AltaMed | AltaMed MCAL/PACE | $1,106 |
| IEHP | IEHP Direct | $1,186 |
| Aetna Healthcare | Aetna | $1,680 |
| Blue Shield | Blue Shield EPN | $1,942 |
| Blue Shield | Blue Shield | $2,294 |
| Cigna Healthcare | Cigna HMO/PPO | $3,681 |
| Tricare | Tricare | $4,040 |
| Aetna Healthcare | Aetna SR | $4,188 |
| All United Medical | All United Medical/Medicare Advantage | $4,188 |
| AltaMed | AltaMed Ancillary Services | $4,188 |
| AltaMed | Altamed Health Services Senior | $4,188 |
| AltaMed | AltaMed SR/PACE | $4,188 |
| Astiva | Astiva Medicare Advantage | $4,188 |
| Blue Shield | Blue Shield SR | $4,188 |
| Central Health Plan | Central Health Plan SR | $4,188 |
| Champion Health Plan | Champion Health Plan Senior | $4,188 |
| Hardship Program | AB774 Hardship Program | $4,208 |
| Alignment Health Plan | Alignment Health Plan MCare Adv | $4,208 |
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