Knee arthroscopy at lodi hospital. CPT 29881.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$2,439–$3,343range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $2,439 |
| Buckeye | Managed Medicaid | $2,568 |
| CARESOURCE | Managed Medicaid | $2,568 |
| ANTHEM | Managed Medicaid | $2,696 |
| MOLINA | Managed Medicaid | $2,696 |
| UNITED | Managed Medicaid | $2,696 |
| AMERIHEALTH | Managed Medicaid | $2,824 |
| OPTUM | Medicare Advantage Transplant | $3,245 |
| OPTUM | All Products VA | $3,245 |
| Anthem | Medicare Advantage | $3,343 |
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