MS-DRG 397 at St Anthony Hospital

Appendix procedures with MCC

In plain words: Appendix procedures with major complications (MCC)

St Anthony Hospital, Gig Harbor

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

What St Anthony Hospital publishes for this code: during a hospital stay

St Anthony Hospital’s prices for MS-DRG 397, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$37,655 – $64,78216 plans	—
Medicare AdvantageInsurer rates	$20,306 – $23,35212 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts St Anthony Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for MS-DRG 397 at St Anthony Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital stayThe hospital	The stay: the room, nursing, operating room, drugs, tests and therapy	—	The price above
Hospital doctorA hospitalist group (only sometimes)	A hospital doctor who looks after you (first day)	$157	$185 – $281
SurgeonThe surgeon's practice	The operationIts amount depends on which operation you have, which this stay's code doesn't say.	—	—
AnesthesiaAn anesthesia group	Anesthesia during the operation	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare MS-DRG 397 at every Washington hospital, with Medicare’s reference amounts.