MS-DRG 017 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 017 by major payers:
$63,181.83
$74,253.86
$95,040.61
$99,304.61
| 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 017 | ||||||
United | 017 | $5148.00 | 1215981303 - VICKSBURG HEALTHCARE LLC, MERIT HEALTH RIVER REGION | 621752111 - (MS) VICKSBURG HEALTHCARE LLC | MS | General Acute Care Hospital (282N00000X) |
United | 017 | $101777.35 | 1669466561 - STATE OF CONNECTICUT, JOHN DEMPSEY HOSPITAL | 66000798 | CT | General Acute Care Hospital (282N00000X) |
United | 017 | $59791.62 | 1790990240 - DARDANELLE COMMUNITY HOSPITAL LLC, RIVER VALLEY MEDICAL CENTER | 834538290 - (AR) DARDANELLE REGIONAL LLC | AR | Psychiatric Hospital Unit (273R00000X) |
United | 017 | $34860.42 | 1982607115 - CUMBERLAND COUNTY HOSPITAL SYSTEM INC, HIGHSMITH-RAINEY SPECIALITY HOSPITAL | 560845796 - CUMBERLAND COUNTY HOSPITAL SYSTEM INC | NC | Special Hospital (284300000X) |
United | 017 | $84424.13 | 1124369137 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH HAYMARKET MEDICAL CENTER | 540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 017 | $123292.92 | 1669424354 - SILVERTON HEALTH, LEGACY SILVERTON MEDICAL CENTER | 930281321 - (OR) SILVERTON HEALTH | OR | General Acute Care Hospital (282N00000X) |
United | 017 | $191235.57 | 1396778197 - TWIN CITIES COMMUNITY HOSPITAL, INC., TWIN CITIES COMMUNITY HOSPITAL | 752918765 - (CA) TWIN CITIES COMMUNITY HOSPITAL INC | CA | General Acute Care Hospital (282N00000X) |
United | 017 | $182954.15 | 1013389089 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 017 | $9890.00 | 1316954449 - FOREST HILLS HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 017 | $60944.48 | 1902865389 - BAPTIST HEALTHCARE SYSTEM, INC, BAPTIST HEALTH CORBIN | 610444707 - BAPTIST HEALTHCARE SYSTEM INC | KY | General Acute Care Hospital (282N00000X) |
United | 017 | $63912.71 | 1215979190 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 017 | $132041.34 | 1215444054 - FLORIDA HOSPITAL DADE CITY INC, ADVENTHEALTH DADE CITY | 822567308 - (FL) FLORIDA HOSPITAL DADE CITY INC | FL | General Acute Care Hospital (282N00000X) |
United | 017 | $65223.94 | 1144210253 - ASCENSION PROVIDENCE HOSPITAL | 381358212 - ASCENSION PROVIDENCE HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 017 | $16787.00 | 1942432471 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | 221487243 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 017 | $102610.29 | 1356328199 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital (283X00000X) |
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 017 vs. Other Pre-MDC Codes
The MS-DRG 017 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 017 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 |
|---|---|---|
| 016-APR-DRG | Moderate | Liver Transplant And/Or Intestinal Transplant |
| 016-MS-DRG | High | Autologous Bone Marrow Transplant with CC/MCC |
| 017-MS-DRG | High | Autologous Bone Marrow Transplant without CC/MCC |
| 018-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 017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 017 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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