MS-DRG 008 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Pre-MDC |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 008 by major payers:
$68,509.54
$68,735.48
$85,513.66
$89,535.58
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 008 | ||||||
United | 008 | $115269.70 | 1053301127 - AUGUSTA HEALTH CARE, INC, T/A AUGUSTA HEALTH | 541453954 - AUGUSTA HEALTH CARE INC | VA | General Acute Care Hospital (282N00000X) |
United | 008 | $69894.34 | 1659348506 - MERCY MEDICAL CENTER-DUBUQUE, MERCYONE DUBUQUE MEDICAL CENTER | 421437483 - (IA) MERCY MEDICAL CENTER-DUBUQUE | IA | General Acute Care Hospital (282N00000X) |
United | 008 | $88286.06 | 1962723684 - PROVIDENCE SACRED HEART MEDICAL CENTER | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 008 | $46813.37 | 1588662357 - ALTOONA REGIONAL HEALTH SYSTEM, ALTOONA REGIONAL HEALTH SYSTEM | 231352155 - UPMC | PA | General Acute Care Hospital (282N00000X) |
United | 008 | $124100.06 | 1922344167 - TEXAS HEALTH ARLINGTON MEMORIAL | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 008 | $93656.52 | 1942287362 - OCHSNER CLINIC FOUNDATION, OCHSNER FOUNDATION HOSPITAL PSYCH | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $41333.41 | 1720011810 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 008 | $108822.00 | 1295163293 - GOOD SAMARITAN HOSPITAL | 230794160 - (PA) THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA | PA | General Acute Care Hospital (282N00000X) |
United | 008 | $99844.18 | 1003854688 - SCRIPPS HEALTH, SCRIPPS MEMORIAL HOSPITAL ENCINITAS REHAB UNIT | 951684089 - SCRIPPS HEALTH | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 008 | $54579.60 | 1700901873 - EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL | 824037220 | TX | Rehabilitation Hospital (283X00000X) |
United | 008 | $88454.43 | 1942247200 - CITRUS HMA INC, SEVEN RIVERS REGIONAL MEDICAL CENTER | 200195256 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $88454.43 | 1942247200 - CITRUS HMA INC, SEVEN RIVERS REGIONAL MEDICAL CENTER | 200195256 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $3744.00 | 1669740056 - HIGHLANDS HOSPITAL AND HEALTH CENTER | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 008 | $35992.87 | 1134128911 - COLUMBIA COUNTY HOSPITAL DISTRICT, DAYTON GENERAL HOSPITAL | 910741968 | WA | Critical Access Hospital (282NC0060X) |
United | 008 | $74581.15 | 1013332014 - PROSPECT CHARTERCARE RWMC, LLC, ROGER WILLIAMS MEDICAL CENTER | 464648465 | RI | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 008 vs. Other Pre-MDC Codes
The MS-DRG 008 code is part of the Pre-MDC services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 008 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 007-APR-DRG | High | ALLOGENEIC BONE MARROW TRANSPLANT |
| 007-MS-DRG | High | Lung Transplant |
| 008-MS-DRG | High | Simultaneous Pancreas and Kidney Transplant |
| 010-APR-DRG | Moderate | Head Trauma With Deep Coma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 008. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 008 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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