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See a sample rate comparisonMS-DRG 010 Fee Schedule
Last Verified: October 2026
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.
PANCREAS TRANSPLANT
| 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 010 by major payers:
$57,891.45
$95,015.02
$122,456.64
$131,124.99
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MS-DRG 010
5 of 25 sample ratesHigher to lower in this preview
University Of Colorado Hospital Authority
$196,980.93Published rateEastside Medical Center, LLC, Piedmont Eastside Medical Center
$155,521.34Published rateClhg-Leesville, Byrd Regional Hospital
$103,625.07Published rateStillwater Medical Center Authority, Stillwater Medical Center
$58,717.51Published rateRussell County Medical Center, Inc, Russell County Medical Center
Mountain States Health Alliance
$4,958.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 010 vs. Other Pre-MDC Codes
The MS-DRG 010 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 010 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 |
|---|---|---|
| 008-APR-DRG | High | AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY |
| 008-MS-DRG | High | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT |
| 010-MS-DRG | High | PANCREAS TRANSPLANT |
| 011-APR-DRG | High | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 010 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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