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See a sample rate comparisonMS-DRG 026 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.
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 026 by major payers:
$36,353.74
$40,125.95
$48,847.09
$50,378.73
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MS-DRG 026
5 of 25 sample ratesHigher to lower in this preview
NYU Hospital For Joint Diseases
NYU Langone Hospitals
$88,454.20Published rateSouthwestern Medical Center, LLC, Southwestern Medical Center
$68,316.89Published rateUch-Mhs, Uchealth Emergency Room - Woodmen
Uch-Mhs
$51,892.32Published rateNorthwest Arkansas Hospitals, LLC, Northwest Medical Center
$43,175.19Published rateRussell County Medical Center, Inc, Russell County Medical Center
Mountain States Health Alliance
$4,708.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 026 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 026 code is part of the Diseases & Disorders of the Nervous System 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 026 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 |
|---|---|---|
| 025-APR-DRG | Moderate | Heart And/Or Lung Transplant |
| 025-MS-DRG | High | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC |
| 026-MS-DRG | High | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC |
| 027-APR-DRG | High | OTHER OPEN CRANIOTOMY |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 026. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 026 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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