MS-DRG 904

Skin grafts for injuries with CC/MCC

In plain words: Skin grafts for injuries with complications (CC or MCC)

Current code37 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 904 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$45,352 – $100,54718 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$34,262 – $88,74014 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$67,211 – $155,71012 plans——
Highline Medical CenterBurienFile dated 2026-02-28$49,368 – $93,09113 plans——
Island HospitalAnacortes$25,440 – $50,3278 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$32,818 – $104,7547 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$52,415 – $101,01010 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$62,073 – $209,36712 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$50,377 – $101,22918 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$50,377 – $101,22918 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$50,377 – $101,22918 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$33,247 – $89,26914 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$31,749 – $98,80619 plans——
PeaceHealth Southwest Medical CenteVancouver$12,920 – $82,5025 plans——
PeaceHealth St John Medical CenterLongview$12,999 – $64,9962 plans——
PeaceHealth St Joseph Medical CenterBellingham$72,3401 plan——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$55,167 – $104,17513 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$54,818 – $208,4898 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$6,118 – $90,71215 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$33,598 – $118,33719 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$49,125 – $107,2028 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$57,075 – $112,10914 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$58,677 – $100,94817 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$58,677 – $100,94817 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,207 – $96,26913 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$58,677 – $100,94817 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$58,677 – $100,94817 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$69,601 – $93,3158 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$31,964 – $110,86717 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$32,048 – $121,40217 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$36,057 – $140,28225 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$36,953 – $148,21919 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$50,377 – $101,22918 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$53,444 – $122,68214 plans——
WhidbeyHealth Medical CenterCoupeville—$40,286$40,286
Yakima Valley MemorialYakimaFile dated 2026-08-27$29,754 – $84,68916 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)
3.7095