MS-DRG 010 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 010 by major payers:
$57,891.45
$95,015.02
$122,456.64
$131,124.99
| 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 010 | ||||||
United | 010 | $44059.75 | 1871805150 - VHS REHABILITATION INSTITUTE OF MICHIGAN INC, REHABILITATION INSTITUTE OF MICHIGAN | 272844407 | MI | Rehabilitation Hospital (283X00000X) |
United | 010 | $164108.26 | 1538572748 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | 560554230 - PRESBYTERIAN HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 010 | $162529.60 | 1912282369 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 010 | $92399.10 | 1528388634 - ADVOCATE LUTHERAN GENERAL HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 010 | $4958.00 | 1871599308 - RUSSELL COUNTY MEDICAL CENTER, INC, RUSSELL COUNTY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Psychiatric Hospital Unit (273R00000X) |
United | 010 | $5185.00 | 1689002651 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL KELLER | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 010 | $155521.34 | 1376597328 - EASTSIDE MEDICAL CENTER, LLC, PIEDMONT EASTSIDE MEDICAL CENTER | 582433432 | GA | Rehabilitation Hospital Unit (273Y00000X) |
United | 010 | $179217.09 | 1477531580 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 010 | $145874.01 | 1760408801 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 010 | $82361.09 | 1083615587 - EPHRATA COMMUNITY HOSPITAL, WELLSPAN EPHRATA COMMUNITY HOSPITAL | 883577015 | PA | General Acute Care Hospital (282N00000X) |
United | 010 | $175456.70 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 010 | $144829.54 | 1841245594 - SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. | 350868157 - SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC | IN | General Acute Care Hospital (282N00000X) |
United | 010 | $55107.07 | 1851362669 - WILLIAMSTON HOSPITAL CORPORATION, MARTIN GENERAL HOSPITAL | 621749107 - (NC) WILLIAMSTON HOSPITAL CORPORATION | NC | General Acute Care Hospital (282N00000X) |
United | 010 | $114037.82 | 1437894011 - JORDAN VALLEY & MOUNTAIN POINT MEDICAL CENTER, LLC | 820588653 | UT | General Acute Care Hospital (282N00000X) |
United | 010 | $58717.51 | 1164494027 - STILLWATER MEDICAL CENTER AUTHORITY, STILLWATER MEDICAL CENTER | 730927647 | OK | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 010) and we'll show you how you compare in 15 minutes or less.