Knee arthroscopy at White Memorial Medical Center. CPT 29881.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$50.22cash price (self-pay)
$492list price
$83.70–$12,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan PPO - All Plans | Multiplan PPO - All Plans | $378 |
| Altamed Medi-Cal - All Other Plans | Altamed Medi-Cal - All Other Plan | $455 |
| Bc Medi-Cal | Bc Medi-Cal | $455 |
| Bella Vista Medi-Cal Op/Profee Only | Bella Vista Medi-Cal Op/Profee O | $455 |
| Blue Shield Medi-Cal | Blue Shield Medi-Cal | $455 |
| Care First Medi-Cal | Care First Medi-Cal | $455 |
| Fcs Ipa Medi-Cal Op/Profee Only | Fcs Ipa Medi-Cal Op/Profee Only | $455 |
| Healthnet Mcal | Healthnet Mcal | $455 |
| Lasalle Mg Medi-Cal | Lasalle Mg Medi-Cal | $455 |
| Pacific Ipa Medi-Cal | Pacific Ipa Medi-Cal | $455 |
| Access Medi-Cal | Access Medi-Cal | $455 |
| Access Group | Access Group | $470 |
| Altamed Connect | Altamed Connect | $553 |
| Avanti Mcr Adv - All Other Plans | Avanti Mcr Adv - All Other Plans | $553 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $553 |
| Brand New Day Mcare - All Plans | Brand New Day Mcare - All Plans | $553 |
| Caremore Mcare - All Plans | Caremore Mcare - All Plans | $553 |
| Clever Care - All Plans | Clever Care - All Plans | $553 |
| Fcs Ipa Mcr Advan Op/Profee Only | Fcs Ipa Mcr Advan Op/Profee Only | $553 |
| La Care Mcr Adv - All Plans | La Care Mcr Adv - All Plans | $553 |
| Lasalle Mg Senior | Lasalle Mg Senior | $553 |
| Pacific Alliance Mcare - All Other Plans | Pacific Alliance Mcare - Al | $553 |
| Scan Health Mcare - All Plans | Scan Health Mcare - All Plans | $553 |
| Sunlight Living Hlth Mcr Adv-All Other Plans | Sunlight Living Hlth Mc | $553 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $553 |
| Access Senior - All Other Plans | Access Senior - All Other Plans | $553 |
| Fcs Ipa Op/Profee Only - All Other Plans | Fcs Ipa Op/Profee Only - Al | $581 |
| UHC Signature | UHC Signature | $629 |
| Molina Benefit Exchange - All Other Plans | Molina Benefit Exchange - | $636 |
| Cigna | Cigna | $644 |
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