MS-DRG 014 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 014 by major payers:
$125,791.45
$158,026.08
$204,619.16
$215,366.62
| 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 014 | ||||||
United | 014 | $209096.43 | 1629637608 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 014 | $119003.64 | 1285062968 - CHILDRESS REGIONAL MEDICAL CENTER | 751228349 | TX | General Acute Care Hospital (282N00000X) |
United | 014 | $213284.20 | 1356309322 - HEALTHEAST WOODWINDS HOSPITAL, M HEALTH FAIRVIEW WOODWINDS HOSPITAL | 411592761 - (MN) HEALTHEAST WOODWINDS HOSPITAL | MN | General Acute Care Hospital (282N00000X) |
United | 014 | $315818.87 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 014 | $231535.01 | 1982658407 - LEE MEMORIAL HEALTH SYSTEM, GULF COAST MEDICAL CENTER | 992646504 | FL | General Acute Care Hospital (282N00000X) |
United | 014 | $278046.40 | 1801848767 - NOVANT HEALTH THOMASVILLE MEDICAL CENTER, LLC, NOVANT HEALTH THOMASVILLE MEDICAL CENTER | 560636250 - NOVANT HEALTH THOMASVILLE MEDICAL CENTER LLC | NC | General Acute Care Hospital (282N00000X) |
United | 014 | $3026.00 | 1285717298 - NIAGARA FALLS MEMORIAL MEDICAL CENTER | 160743094 - (NY) NIAGARA FALLS MEMORIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 014 | $16763.00 | 1528075108 - FRANKLIN HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 014 | $163051.90 | 1487755112 - ST. CLAIR MEMORIAL HOSPITAL, PSYCH UNIT | 251010303 - (PA) ST CLAIR HEALTH CORPORATION | PA | Psychiatric Hospital Unit (273R00000X) |
United | 014 | $395870.87 | 1467411991 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK EASTERN LONG ISLAND HOSPITAL PSYCH UNIT | 113243405 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 014 | $199094.95 | 1437107208 - CASA GRANDE COMMUNITY HOSPITAL, CASA GRANDE REGIONAL MEDICAL CENTER | 450233470 - BANNER HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 014 | $330060.56 | 1962556274 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 014 | $311704.90 | 1700978558 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION, ADVENTHEALTH FISH MEMORIAL | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 014 | $346332.96 | 1427722974 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST NORTH | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 014 | $303634.21 | 1164481529 - ST. CHARLES HOSPITAL | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | 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 014 vs. Other Pre-MDC Codes
The MS-DRG 014 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 014 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 |
|---|---|---|
| 013-APR-DRG | Moderate | Liver Transplant And/Or Intestinal Transplant |
| 013-MS-DRG | High | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC |
| 014-MS-DRG | High | Allogeneic Bone Marrow Transplant |
| 016-APR-DRG | Moderate | Liver Transplant And/Or Intestinal Transplant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 014 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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