MS-DRG 469

Major hip and knee joint replacement or reattachment of lower extremity with MCC or total ankle replacement

In plain words: Major hip and knee joint replacement or reattachment of lower extremity with major complications (MCC) or total ankle replacement

Current code37 hospitals with prices

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

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for MS-DRG 469 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$26,391 – $27,7106 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$26,812 – $28,1528 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$35,745 – $39,31912 plans——
Highline Medical CenterBurienFile dated 2026-02-28$28,170 – $32,39511 plans——
Island HospitalAnacortes$23,089 – $24,47411 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$27,187 – $32,62512 plans——
Kittitas Valley Community HospitalEllensburgFile dated 2026-02-04$10,7821 plan$30,035$35,335
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$29,111 – $31,65511 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$28,698 – $31,5687 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$28,216 – $29,6277 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$28,461 – $31,3077 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$27,344 – $30,0787 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$26,294 – $27,6098 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$26,970 – $34,6765 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$26,321 – $27,3746 plans——
PeaceHealth Southwest Medical CenteVancouver$26,871 – $30,90113 plans——
PeaceHealth St John Medical CenterLongview$21,121 – $29,78514 plans——
PeaceHealth St Joseph Medical CenterBellingham$30,765 – $32,8568 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$27,796 – $33,35512 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$26,786 – $42,85710 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$25,903 – $28,4939 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$27,879 – $30,66711 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$25,448 – $27,9939 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$27,966 – $44,7469 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$26,710 – $30,71712 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$28,399 – $32,65912 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,688 – $4,96712 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$28,673 – $32,97412 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$28,496 – $32,77112 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$29,562 – $31,92710 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$26,574 – $55,80612 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$26,586 – $55,83012 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$29,990 – $62,98012 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$30,634 – $64,33212 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$28,698 – $31,5687 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$32,343 – $35,57712 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$17,527 – $30,3418 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)
3.1082