What do doctors typically charge for Arthroscopy?

The nationwide median physician charge for Arthroscopy (HCPCS G0289) is $350.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS G0289?

The standard insurance baseline reimbursement rate is $86.22. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Arthroscopy

HCPCS G0289Medical Service

Arthroscopy

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. Clinical pricing breakdown and utilization metrics across 39 practicing doctors nationwide.

$350.00

Peer Median Charge

Gross billed rate

$86.22

Standard Baseline

Customary allowable

4.1x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT G0289?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $350.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $86.22 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code G0289 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"