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 | $67317.28 | 1083986129 - PRIME HEALTHCARE SERVICES ROXBOROUGH LLC, ROXBOROUGH MEMORIAL HOSPITAL | 454246163 - (PA) PRIME HEALTHCARE SERVICES ROXBOROUGH, LLC | PA | General Acute Care Hospital (282N00000X) |
United | 008 | $129059.35 | 1376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 008 | $88286.06 | 1962723684 - PROVIDENCE SACRED HEART MEDICAL CENTER | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 008 | $119632.77 | 1427133883 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $73389.56 | 1962504175 - ST MARY MEDICAL CENTER INC, ST MARY WOUND CLINIC | 352007327 - (IN) ST MARY MEDICAL CENTER INC | IN | General Acute Care Hospital (282N00000X) |
United | 008 | $43194.17 | 1679578850 - ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC., ASCENSION ST. VINCENT ANDERSON | 460877261 - (IN) ST VINCENT ANDERSON REGIONAL HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 008 | $51371.73 | 1437259694 - HEARTLAND REGIONAL MEDICAL CENTER, MOSAIC LIFE CARE AT ST JOSEPH MEDICAL CENTER | 440545289 - HEARTLAND REGIONAL MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
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 | $88454.43 | 1942247200 - CITRUS HMA INC, SEVEN RIVERS REGIONAL MEDICAL CENTER | 200195256 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $58283.85 | 1649490871 - WASHINGTON HOSPITAL | 250965600 - (PA) WASHINGTON HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 008 | $2000.00 | 1225132863 - DOCTORS HOSPITAL AT RENAISSANCE, LTD, HOSPITAL - REHABILITATION UNIT | 742802643 - (TX) DOCTORS HOSPITAL AT RENAISSANCE | TX | Rehabilitation Hospital (283X00000X) |
United | 008 | $35992.87 | 1134128911 - COLUMBIA COUNTY HOSPITAL DISTRICT, DAYTON GENERAL HOSPITAL | 910741968 | WA | Critical Access Hospital (282NC0060X) |
United | 008 | $23788.49 | 1851505630 - HOSPITAL SERVICE DIST. NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LA | 726014606 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $72595.67 | 1780637629 - MERCY MEDICAL CENTER, INC., MERCY MEDICAL CENTER PSYCHIATRIC UNIT | 341893439 - CLEVELAND CLINIC MERCY HOSPITAL | OH | Psychiatric Hospital Unit (273R00000X) |
United | 008 | $105823.31 | 1023194271 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Psychiatric Hospital Unit (273R00000X) |
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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