MS-DRG 865

Viral illness with MCC

In plain words: Viral illness with major complications (MCC)

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 865 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$13,227 – $13,8886 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$13,659 – $14,3428 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$19,255 – $21,18012 plans——
Highline Medical CenterBurienFile dated 2026-02-28$13,340 – $15,34111 plans——
Island HospitalAnacortes$11,405 – $12,08911 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$13,757 – $16,50912 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$15,071 – $16,38811 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$14,826 – $16,3097 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$14,754 – $15,4927 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$15,058 – $16,5647 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$14,005 – $15,4057 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$13,538 – $14,2158 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$13,322 – $17,1295 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$13,302 – $13,8346 plans——
PeaceHealth Southwest Medical CenteVancouver$13,847 – $15,92513 plans——
PeaceHealth St John Medical CenterLongview$10,979 – $15,48314 plans——
PeaceHealth St Joseph Medical CenterBellingham$15,197 – $16,2308 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$14,015 – $16,81812 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$13,231 – $21,17010 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$13,076 – $14,3849 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$14,161 – $15,57711 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$12,843 – $14,1289 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$14,040 – $22,4649 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$12,193 – $14,02212 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$13,170 – $15,14512 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,688 – $4,96712 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$13,442 – $15,45812 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$13,201 – $15,18212 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$13,522 – $14,60410 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$13,645 – $28,65412 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$13,483 – $28,31512 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$15,439 – $32,42312 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$15,477 – $32,50212 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$14,826 – $16,3097 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$16,288 – $17,91712 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$8,354 – $15,4558 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)
1.3153