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
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	$12,3561 plan	—	—

Lowest and highest amounts each hospital lists for this code as an outpatient, 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