MS-DRG 804

Other O.R. procedures of the blood and blood forming organs without CC/MCC

In plain words: Other operating room procedures of the blood and blood forming organs without complications

Current code36 hospitals with prices

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

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for MS-DRG 804 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$16,858 – $34,23218 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12,171 – $30,16814 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$25,889 – $57,48412 plans——
Highline Medical CenterBurienFile dated 2026-02-28$14,136 – $29,98013 plans——
Island HospitalAnacortes$9,392 – $18,5798 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$9,397 – $29,9947 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$15,394 – $37,29010 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$23,074 – $77,29212 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18,726 – $36,47618 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18,726 – $36,47618 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$18,726 – $36,47618 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$11,811 – $28,35014 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$12,095 – $36,47619 plans——
PeaceHealth Southwest Medical CenteVancouver$5,056 – $25,2805 plans——
PeaceHealth St John Medical CenterLongview$5,148 – $25,7412 plans——
PeaceHealth St Joseph Medical CenterBellingham$26,7061 plan——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$18,794 – $32,24713 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$20,237 – $59,6978 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,274 – $27,26815 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12,889 – $34,77719 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$16,887 – $30,6958 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$21,546 – $39,82614 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$16,802 – $33,24117 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$16,802 – $29,98017 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,207 – $29,98013 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$16,802 – $29,98017 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$16,802 – $29,98017 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$20,418 – $32,1168 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$12,446 – $40,63117 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$12,269 – $35,77817 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$14,090 – $43,12825 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$14,072 – $54,32019 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$18,726 – $36,47618 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$18,917 – $45,29014 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$10,807 – $28,35016 plans——

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Relative weight (how Medicare pays this stay compared with an average one)
1.4218