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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $23,511 – $24,686 | — | — |
| Deaconess Medical Center | $23,934 – $25,131 | — | — |
| Harborview Medical Center | $32,137 – $35,351 | — | — |
| Highline Medical Center | $22,775 – $26,191 | — | — |
| Island Hospital | $20,533 – $21,765 | — | — |
| Kadlec Regional Medical Center | $24,249 – $29,099 | — | — |
| Legacy Salmon Creek Medical Center | $26,040 – $28,315 | — | — |
| Mary Bridge Children's Hospital | $25,664 – $28,230 | — | — |
| MultiCare Auburn Medical Center | $25,271 – $26,535 | — | — |
| MultiCare Covington Medical Center | $25,529 – $28,082 | — | — |
| MultiCare Good Samaritan Hospital | $24,425 – $26,868 | — | — |
| MultiCare Valley Hospital | $23,504 – $24,679 | — | — |
| Olympic Medical Center | $23,984 – $30,837 | — | — |
| Overlake Hospital Medical Center & Clinics | $23,473 – $24,412 | — | — |
| PeaceHealth Southwest Medical Cente | $24,022 – $27,625 | — | — |
| PeaceHealth St John Medical Center | $18,902 – $26,657 | — | — |
| PeaceHealth St Joseph Medical Center | $27,359 – $29,218 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $24,781 – $29,737 | — | — |
| Providence Centralia Hospital | $23,820 – $38,112 | — | — |
| Providence Holy Family Hospital | $23,097 – $25,406 | — | — |
| Providence Regional Medical Center Everett | $24,878 – $27,365 | — | — |
| Providence St Mary Medical Center | $22,690 – $24,959 | — | — |
| Providence St Peter Hospital | $24,920 – $39,871 | — | — |
| St Anthony Hospital | $21,429 – $24,644 | — | — |
| St Clare Hospital | $22,859 – $26,288 | — | — |
| St Elizabeth Hospital | $3,688 – $4,967 | — | — |
| St Francis Community Hospital | $23,132 – $26,602 | — | — |
| St Joseph Medical Center | $22,932 – $26,372 | — | — |
| St Michael Medical Center | $23,727 – $25,625 | — | — |
| Swedish Edmonds Hospital | $23,745 – $49,865 | — | — |
| Swedish Issaquah | $23,719 – $49,810 | — | — |
| Swedish Medical Center | $26,807 – $56,294 | — | — |
| Swedish Medical Center / Cherry Hill | $27,318 – $57,368 | — | — |
| Tacoma General Allenmore Hospital | $25,664 – $28,230 | — | — |
| University of Washington Medical Ctr | $28,830 – $31,713 | — | — |
| Yakima Valley Memorial | $15,527 – $27,084 | — | — |
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