MS-DRG 255
Upper limb and toe amputation for circulatory system disorders with MCC
In plain words: Upper limb and toe amputation for circulatory system disorders with major complications (MCC)
Current code36 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $36,157 – $68,136 | — | — |
| Deaconess Medical Center | $24,748 – $61,130 | — | — |
| Harborview Medical Center | $50,342 – $114,348 | — | — |
| Highline Medical Center | $33,455 – $68,050 | — | — |
| Island Hospital | $18,682 – $36,959 | — | — |
| Kadlec Regional Medical Center | $22,239 – $70,985 | — | — |
| Legacy Salmon Creek Medical Center | $36,432 – $74,179 | — | — |
| Mary Bridge Children's Hospital | $52,374 – $153,752 | — | — |
| MultiCare Auburn Medical Center | $38,753 – $73,120 | — | — |
| MultiCare Covington Medical Center | $38,753 – $73,120 | — | — |
| MultiCare Good Samaritan Hospital | $38,753 – $73,120 | — | — |
| MultiCare Valley Hospital | $24,015 – $60,493 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $23,473 – $72,560 | — | — |
| PeaceHealth Southwest Medical Cente | $9,609 – $55,908 | — | — |
| PeaceHealth St John Medical Center | $9,693 – $48,466 | — | — |
| PeaceHealth St Joseph Medical Center | $53,124 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $41,880 – $73,196 | — | — |
| Providence Centralia Hospital | $40,256 – $141,280 | — | — |
| Providence Holy Family Hospital | $5,162 – $61,893 | — | — |
| Providence Regional Medical Center Everett | $24,878 – $80,190 | — | — |
| Providence St Mary Medical Center | $36,305 – $72,644 | — | — |
| Providence St Peter Hospital | $42,114 – $81,101 | — | — |
| St Anthony Hospital | $39,763 – $75,452 | — | — |
| St Clare Hospital | $39,763 – $68,408 | — | — |
| St Elizabeth Hospital | $8,207 – $68,050 | — | — |
| St Francis Community Hospital | $39,763 – $68,408 | — | — |
| St Joseph Medical Center | $39,763 – $68,408 | — | — |
| St Michael Medical Center | $47,453 – $70,688 | — | — |
| Swedish Edmonds Hospital | $23,745 – $75,418 | — | — |
| Swedish Issaquah | $23,719 – $82,267 | — | — |
| Swedish Medical Center | $26,807 – $95,061 | — | — |
| Swedish Medical Center / Cherry Hill | $27,318 – $100,826 | — | — |
| Tacoma General Allenmore Hospital | $38,753 – $73,120 | — | — |
| University of Washington Medical Ctr | $39,247 – $90,093 | — | — |
| Yakima Valley Memorial | $26,411 – $57,390 | — | — |
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.
- Relative weight (how Medicare pays this stay compared with an average one)
- 2.8293