Knee arthroscopy at North Vista Hospital. CPT 29881.
What North Vista Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$3,559cash price (self-pay)
$32,500list price
$1,048–$32,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sierra (HPN) Medicaid | HPN Medicaid | $1,048 |
| Anthem BCBS | Anthem Medicaid | $1,059 |
| Molina Healthcare | Molina Medicaid | $1,059 |
| Silver Summit | Silver Summit Medicaid | $1,059 |
| Traditional Medicaid | Traditional Medicaid | $1,059 |
| Sierra Health | Sierra Health HMO/SHL | $1,457 |
| Sierra Health | Sierra Health PPO | $1,457 |
| Aetna | Aetna Commercial | $1,642 |
| Three Rivers | Three Rivers Workers Compensation | $2,131 |
| Anthem BCBS Workers Compensation | Anthem BCBS Workers Compensation | $2,139 |
| Provider Select | Provider Select Workers Compensation | $2,175 |
| Worker Comp | Worker Compensation | $2,196 |
| UHC | UHC Options PPO | $2,511 |
| UHC | UHC Commercial All Payer | $3,060 |
| Triwest | Triwest | $3,523 |
| Aetna | Aetna Medicare | $3,559 |
| Anthem BCBS | Anthem Medicare | $3,559 |
| Health Net Federal Services Tricare | Health Net Federal Services Tric | $3,559 |
| Intermountain Healthcare (HCP) | Healthcare Partner SR Medicare | $3,559 |
| Molina Healthcare | Molina Medicare | $3,559 |
| Renal Payor Solutions | Renal Payer Solutions Medicare | $3,559 |
| Silver Summit | Silver Summit Medicare | $3,559 |
| Traditional Medicare | Traditional Medicare | $3,559 |
| Tricare | Tricare | $3,559 |
| Alignment | Alignment Medicare | $3,630 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $4,983 |
| Imperial Insurance Companies | Imperial Insurance Company Exchange | $5,339 |
| Imperial Insurance Companies | Imperial Insurance Company Medicare | $5,339 |
| Naphcare | Naphcare | $5,516 |
| Silver Summit | Silver Summit Commercial Insurance Exchange | $5,694 |
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