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Every billing code / MS-DRG 480 / Trios Health

MS-DRG 480 at Trios Health

Hip and femur procedures except major joint with MCC or insertion of antibiotic-eluting bone void filler

In plain words: Hip and femur procedures except major joint with major complications (MCC) or insertion of antibiotic-eluting bone void filler

Trios Health, Kennewick

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

What Trios Health publishes for this code: during a hospital stay

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$39,316 – $51,4603 plans—
Medicare AdvantageInsurer rates$23,5621 plan—
Medicare (traditional)Insurer rates$22,8755 plans—
Other government programInsurer rates$22,8756 plans—
UnknownInsurer rates$24,019 – $46,6993 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it$127,480—

Lowest and highest amounts Trios Health lists for this code during a hospital stay, including lines it lists for both settings or without saying which. 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 480 at every Washington hospital, with Medicare’s reference amounts.