MS-DRG 516 at Yakima Valley Memorial
Other musculoskeletal system and connective tissue O.R. procedures with CC
In plain words: Other musculoskeletal system and connective tissue operating room procedures with complications (CC)
What Yakima Valley Memorial publishes for this code: during a hospital stay
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $19,095 – $44,125 | — |
| Medicare Advantage | $14,131 – $21,078 | — |
| Cash price | — | — |
| List price | — | — |
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.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital stay | The stay: the room, nursing, operating room, drugs, tests and therapy | — | The price above |
| Hospital doctor | A hospital doctor who looks after you (first day) | $157 | $185 – $281 |
| Surgeon | The operation | — | — |
| Anesthesia | Anesthesia during the operation | — | — |
Compare MS-DRG 516 at every Washington hospital, with Medicare’s reference amounts.