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See a sample rate comparisonMS-DRG 017 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.
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
| 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
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MS-DRG 017
5 of 25 sample ratesHigher to lower in this preview
New York Society For The Relief Of The Ruptured And Crippled, Hospital For Special Surgery
New York Society For The Relief Of Ruptured & Crippled Maintaining
$155,771.59Published rateAscension All Saints Hospital, Inc, Ascension All Saints Hospital
Ascension All Saints Hospital Inc
$114,621.74Published rateOro Valley Hospital
$68,078.92Published rateCuyuna Regional Medical Center
$45,449.03Published rateWellmont Health System, Lonesome Pine Hospital
Wellmont Health System
$2,765.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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