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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for MS-DRG 804 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$12,006 – $12,6076 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12,439 – $13,0618 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$17,726 – $19,49812 plans——
Highline Medical CenterBurienFile dated 2026-02-28$10,277 – $11,81911 plans——
Island HospitalAnacortes$10,322 – $10,94111 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$12,512 – $15,01512 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$13,769 – $14,97211 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$13,540 – $14,8947 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$13,506 – $14,1817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$13,815 – $15,1977 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$12,768 – $14,0457 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$12,356 – $12,9748 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$12,057 – $15,5025 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$12,095 – $12,5796 plans——
PeaceHealth Southwest Medical CenteVancouver$12,640 – $14,53613 plans——
PeaceHealth St John Medical CenterLongview$10,039 – $14,15814 plans——
PeaceHealth St Joseph Medical CenterBellingham$13,754 – $14,6888 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$12,738 – $15,28512 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$11,975 – $19,15910 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$11,887 – $13,0769 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12,889 – $14,17811 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$11,675 – $12,8429 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$12,749 – $20,3999 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$9,194 – $10,57312 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$10,024 – $11,52812 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,688 – $4,96712 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$10,296 – $11,84012 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$10,042 – $11,54912 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$10,209 – $11,02610 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$12,446 – $26,13712 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$12,269 – $25,76412 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$14,090 – $29,59012 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$14,072 – $29,55112 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$13,540 – $14,8947 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$14,800 – $16,28012 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$10,170 – $14,0748 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