MS-DRG 554 at St Elizabeth Hospital

Bone diseases and arthropathies without MCC

In plain words: Bone diseases and arthropathies without major complications

St Elizabeth Hospital, Enumclaw

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

What St Elizabeth Hospital publishes for this code: during a hospital stay

St Elizabeth Hospital’s prices for MS-DRG 554, during a hospital stay
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$8,207 – $20,80913 plans—
Medicare AdvantageInsurer rates$3,688 – $4,96712 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts St Elizabeth Hospital 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 Seattle (King County) 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.

Bills to expect for MS-DRG 554 at St Elizabeth Hospital
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)$167$197 – $299

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare MS-DRG 554 at every Washington hospital, with Medicare’s reference amounts.