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
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $31.33 – $154 | $48.20 – $237 |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | — | $264 |
| Tacoma General Allenmore Hospital | — | — | — |
| Three Rivers Hospital | |||
| Virginia Mason Medical Center | — | $1,111 | $2,178 |
| Yakima Valley Memorial | — | — | — |
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)