HCPCS G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Current codeArthroscopy - Lower Extremity21 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0289 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Deaconess Medical CenterSpokaneFile dated 2026-08-27———
Island HospitalAnacortes$6482 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1441 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$6,216 – $7,9202 plans$31.33 – $154Doctor’s fee: $125 – $157$48.20 – $237Doctor’s fee: $193 – $241
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,976 – $5,6082 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$33,6031 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$10,1221 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$11,2411 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$13,908 – $19,8852 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$27,9821 plan——
Seattle Children's HospitalSeattle$84.35 – $211at least 54 plans—$264
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewster—Doctor’s fee: $78.00 – $1,254Doctor’s fee: $78.00 – $1,254
Virginia Mason Medical CenterSeattle$2.51 – $18,71110 plans$1,111$2,178
Yakima Valley MemorialYakimaFile dated 2026-08-27$5,7931 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$76.86 in a hospital or surgery center
Doctor's fee, rest of Washington
$71.92 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS G0289:

  • G0289P (with a letter after it, P; 2 price lines)
  • G0289T (with a letter after it, T; 1 price line)