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

Title from CMS's list of Medicare Severity Diagnosis Related Groups (MS-DRGs).

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 MS-DRG 255 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$36,157 – $68,13618 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$24,748 – $61,13014 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$50,342 – $114,34812 plans——
Highline Medical CenterBurienFile dated 2026-02-28$33,455 – $68,05013 plans——
Island HospitalAnacortes$18,682 – $36,9598 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$22,239 – $70,9857 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$36,432 – $74,17910 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$52,374 – $153,75212 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$38,753 – $73,12018 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$38,753 – $73,12018 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$38,753 – $73,12018 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$24,015 – $60,49314 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$23,473 – $72,56019 plans——
PeaceHealth Southwest Medical CenteVancouver$9,609 – $55,9085 plans——
PeaceHealth St John Medical CenterLongview$9,693 – $48,4662 plans——
PeaceHealth St Joseph Medical CenterBellingham$53,1241 plan——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$41,880 – $73,19613 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$40,256 – $141,2808 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5,162 – $61,89315 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$24,878 – $80,19019 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$36,305 – $72,6448 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$42,114 – $81,10114 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$39,763 – $75,45217 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$39,763 – $68,40817 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,207 – $68,05013 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$39,763 – $68,40817 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$39,763 – $68,40817 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$47,453 – $70,6888 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$23,745 – $75,41817 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$23,719 – $82,26717 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$26,807 – $95,06125 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$27,318 – $100,82619 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$38,753 – $73,12018 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$39,247 – $90,09314 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$26,411 – $57,39016 plans——

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.

Relative weight (how Medicare pays this stay compared with an average one)
2.8293