HCPCS G0289 at Lincoln Hospital

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

Lincoln Hospital, Davenport

Description from CMS's HCPCS Level II code file.

What Lincoln Hospital publishes for this code: as an outpatient

Lincoln Hospital’s prices for HCPCS G0289, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	—	$115 – $1,075
Medicare AdvantageInsurer rates	—	$71.92
Medicaid managed careInsurer rates	—	$1,185 – $1,280
Other government programInsurer rates	—	$64.73 – $149
UnknownInsurer rates	—	$71.92
Cash pricePaying yourself, without insurance	—	$1,066 – $1,087
List priceBefore any discount; few people pay it	—	$1,185 – $1,208

Lowest and highest amounts Lincoln Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-09-14. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0289 at Lincoln Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0289 at every Washington hospital, with Medicare’s reference amounts.