CareNavIQ

Every billing code / MS-DRG 462 / St Michael Medical Center

MS-DRG 462 at St Michael Medical Center

Bilateral or multiple major joint procedures of lower extremity without MCC

In plain words: Bilateral or multiple major joint procedures of lower extremity without major complications

St Michael Medical Center, Silverdale

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

What St Michael Medical Center publishes for this code: during a hospital stay

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$51,878 – $85,2168 plans—
Medicare AdvantageInsurer rates$25,939 – $28,01410 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts St Michael Medical Center 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.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital stayThe hospitalThe 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 practiceThe operationIts amount depends on which operation you have, which this stay's code doesn't say.——
AnesthesiaAn anesthesia groupAnesthesia 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 462 at every Washington hospital, with Medicare’s reference amounts.