Knee arthroscopy at Legacy Good Samaritan Medical Center IP Rehab. CPT 29881.
What Legacy Good Samaritan Medical Center IP Rehab publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,011cash price (self-pay)
$1,556list price
$3,637–$16,328range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $3,637 |
| Atrio | Medicare Managed Care Plan | $3,746 |
| Aetna | Medicare Managed Care Plan | $3,819 |
| HealthNet | Medicare Managed Care Plan | $3,855 |
| CareOregon | Medicare Managed Care Plan | $3,928 |
| Ageright | Medicare Managed Care Plan | $4,001 |
| Moda | Medicare Managed Care Plan | $4,073 |
| Kaiser | PEBB Other Commercial Plan | $7,274 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $7,716 |
| HealthNet | All Commercial Plans | $10,400 |
| BCBS | Regence - Blue HPN All Commercial Plans | $10,801 |
| BCBS | Regence All Commercial Plans | $11,310 |
| Cigna | LocalPlus All Commercial Plans | $12,664 |
| UnitedHealthCare | All Commercial Plans | $12,835 |
| Aetna | All Commercial Plans | $13,746 |
| Moda | All Commercial Plans | $14,066 |
| Cigna | All Commercial Plans | $16,275 |
| First Health | All Commercial Plans | $16,328 |
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All common services at Legacy Good Samaritan Medical Center IP Rehab