MS-DRG 597 at Providence Holy Family Hospital

Malignant breast disorders with MCC

In plain words: Malignant breast disorders with major complications (MCC)

Providence Holy Family Hospital, Spokane

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

What Providence Holy Family Hospital publishes for this code: during a hospital stay

Providence Holy Family Hospital’s prices for MS-DRG 597, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$3,007 – $41,26915 plans	—
Medicare AdvantageInsurer rates	$14,487 – $15,9369 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts Providence Holy Family 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 2026-04-01. 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.

Bills to expect for MS-DRG 597 at Providence Holy Family Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital stayThe hospital	The 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

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

Compare MS-DRG 597 at every Washington hospital, with Medicare’s reference amounts.