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Every billing code / MS-DRG 492 / PeaceHealth St John Medical Center

MS-DRG 492 at PeaceHealth St John Medical Center

Lower extremity and humerus procedures except hip, foot and femur with MCC or insertion of antibiotic-eluting bone void filler

In plain words: Lower extremity and humerus procedures except hip, foot and femur with major complications (MCC) or insertion of antibiotic-eluting bone void filler

PeaceHealth St John Medical Center, Longview

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

What PeaceHealth St John 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$12,994 – $64,9712 plans—
Medicare AdvantageInsurer rates$25,339 – $35,73414 plans—
Medicaid managed careInsurer rates$25,339 – $34,1102 plans—
UnknownInsurer rates$6601 plan—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts PeaceHealth St John Medical Center 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 492 at every Washington hospital, with Medicare’s reference amounts.