MS-DRG 638 at Providence St Mary Medical Center

Diabetes with CC

In plain words: Diabetes with complications (CC)

Providence St Mary Medical Center, Walla Walla

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

What Providence St Mary Medical Center publishes for this code: during a hospital stay

Providence St Mary Medical Center’s prices for MS-DRG 638, during a hospital stay
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$12,638 – $25,4678 plans—
Medicare AdvantageInsurer rates$7,899 – $8,6899 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts Providence St Mary Medical Center 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 638 at Providence St Mary Medical Center
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

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

Compare MS-DRG 638 at every Washington hospital, with Medicare’s reference amounts.