Knee arthroscopy at Avita Ontario Hospital. CPT 29881.
What Avita Ontario Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$38,079cash price (self-pay)
$44,799list price
$631–$44,799range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth | Medicaid_Outpatient | $631 |
| Anthem | Medicaid_Outpatient | $631 |
| Buckeye | Medicaid_Outpatient | $631 |
| Caresource | Medicaid_Outpatient | $631 |
| Humana_Horizons | Medicaid_Outpatient | $631 |
| Traditional_Medicaid | Outpatient | $631 |
| Molina | Medicaid_Outpatient | $631 |
| United_HealthCare | Medicaid_Outpatient | $631 |
| Aetna | Medicare_Outpatient | $3,343 |
| Anthem | Medicare_Outpatient | $3,343 |
| Buckeye | Medicare_Outpatient | $3,343 |
| Humana | Medicare_Outpatient | $3,343 |
| Traditional_Medicare | Outpatient | $3,343 |
| Mount_Carmel | Medicare_Outpatient | $3,343 |
| Medical_Mutual | Medicare_Outpatient | $3,343 |
| Molina | Medicare_Outpatient | $3,343 |
| Molina | Marketplace_Outpatient | $3,343 |
| United_HealthCare | Medicare_Outpatient | $3,343 |
| Anthem | Pathway_Group_HMO_Pathway_X | $28,223 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $28,223 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $31,941 |
| Anthem | Blue_Access_Blue_Preferred | $31,941 |
| United_HealthCare | Commercial | $32,367 |
| Cigna | Commercial | $34,898 |
| Medical_Mutual | Commercial | $35,839 |
| Aetna | All_Commercial | $44,799 |
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