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

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

Prices for MS-DRG 904 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$31,879 – $33,4736 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$32,295 – $33,9108 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$42,619 – $46,88112 plans——
Highline Medical CenterBurienFile dated 2026-02-28$33,070 – $38,03011 plans——
Island HospitalAnacortes$27,960 – $29,63711 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$32,786 – $39,34412 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$34,965 – $38,02011 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$34,482 – $37,9307 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$33,829 – $35,5207 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$34,049 – $37,4547 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$32,905 – $36,1957 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$31,612 – $33,1938 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$32,660 – $41,9925 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$31,749 – $33,0196 plans——
PeaceHealth Southwest Medical CenteVancouver$32,300 – $37,14513 plans——
PeaceHealth St John Medical CenterLongview$25,349 – $35,74814 plans——
PeaceHealth St Joseph Medical CenterBellingham$37,255 – $39,7878 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$33,541 – $40,24912 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$32,437 – $51,89810 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$31,250 – $34,3759 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$33,598 – $36,95811 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$30,703 – $33,7739 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$33,772 – $54,0359 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$31,508 – $36,23412 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$33,431 – $38,44612 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,688 – $4,96712 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$33,706 – $38,76212 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$33,550 – $38,58312 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$34,862 – $37,65110 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$31,964 – $67,12512 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$32,048 – $67,30112 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$36,057 – $75,71912 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$36,953 – $77,60212 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$34,482 – $37,9307 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$39,036 – $42,94012 plans——
WhidbeyHealth Medical CenterCoupeville—$40,286$40,286
Yakima Valley MemorialYakimaFile dated 2026-08-27$13,670 – $36,5478 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