MS-DRG 027 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 | • 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 027 by major payers:
$29,868.42
$33,124.36
$40,047.41
$41,197.50
| 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 027 | ||||||
United | 027 | $40856.89 | 1790747780 - APPALACHIAN REGIONAL HEALTHCARE, INC, BECKLEY ARH HOSPITAL | 520795508 - APPALACHIAN REGIONAL HEALTHCARE INC | WV | Psychiatric Hospital Unit (273R00000X) |
United | 027 | $35958.00 | 1861439952 - SUNRISE HOSPITAL AND MEDICAL CENTER, LLC, SUNRISE HOSPITAL AND MEDICAL CENTER | 621762537 | NV | General Acute Care Hospital (282N00000X) |
United | 027 | $53993.00 | 1376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 027 | $25752.25 | 1710909585 - MISSISSIPPI BAPTIST MEDICAL CENTER, INC. | 640881013 - (MS) MISSISSIPPI BAPTIST MEDICAL CENTER | MS | General Acute Care Hospital (282N00000X) |
United | 027 | $52209.00 | 1538177423 - CHRISTIAN HOSPITAL NORTHEAST NORTHWEST | 436057893 - CHRISTIAN HOSPITAL NORTHEAST NORTHWEST | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 027 | $37138.21 | 1245217520 - FAIRVIEW HEALTH SERVICES, FAIRVIEW RIDGES HOSPITAL | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 027 | $68231.00 | 1528005600 - TERRE HAUTE REGIONAL HOSPITAL, L.P., TERRE HAUTE REGIONAL HOSPITAL | 351461805 - (IN) TERRE HAUTE REGIONAL HOSPITAL LP | IN | Psychiatric Hospital Unit (273R00000X) |
United | 027 | $60932.44 | 1275552747 - NORTHSHORE REGIONAL MEDICAL CENTER, LLC, NORTHSHORE REGIONAL MEDICAL CENTER | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 027 | $48859.92 | 1558333682 - HIGHLINE MEDICAL CENTER | 910712166 - (WA) HIGHLINE MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 027 | $23579.83 | 1538208210 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 027 | $82582.46 | 1154308005 - SCRIPPS HEALTH, SCRIPPS MERCY HOSPITAL BEHAVIORAL HEALTH UNIT | 951684089 - SCRIPPS HEALTH | CA | Psychiatric Hospital Unit (273R00000X) |
United | 027 | $3816.15 | 1427048453 - MEDINA COUNTY HOSPITAL DISTRICT, MEDINA REGIONAL HOSPITAL | 270492434 | TX | Critical Access Hospital (282NC0060X) |
United | 027 | $3816.15 | 1427048453 - MEDINA COUNTY HOSPITAL DISTRICT, MEDINA REGIONAL HOSPITAL | 270492434 | TX | Critical Access Hospital (282NC0060X) |
United | 027 | $26721.33 | 1295705945 - ASCENSION ST JOHN HOSPITAL, ST JOHN HOSPITAL AND MEDICAL CENTER | 381359063 - ASCENSION ST JOHN HOSPITAL | MI | Psychiatric Hospital Unit (273R00000X) |
United | 027 | $62363.76 | 1659787554 - BANNER HEALTH, BANNER FORT COLLINS MEDICAL CENTER | 450233470 - BANNER HEALTH | CO | 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 027 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 027 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 027 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 |
|---|---|---|
| 026-APR-DRG | High | OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
| 026-MS-DRG | High | Craniotomy and Endovascular Intracranial Procedures with CC |
| 027-MS-DRG | High | Craniotomy and Endovascular Intracranial Procedures without CC/MCC |
| 028-APR-DRG | Moderate | Heart And/Or Lung 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 027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 027 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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