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MS-DRG 030 Fee Schedule

Last Verified: December 2025

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.

Spinal Procedures without CC/MCC
Key FactDetail
Service Type

Diseases & Disorders of the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 030 by major payers:

bcbs

$26,152.91

uhc

$28,695.42

aetna

$36,015.71

cigna

$36,290.88

Preview provider-level rates for...
For billing codeMS-DRG 030
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 030

United
030$54547.511124341672 - BANNER IRONWOOD MEDICAL CENTER900412842AZGeneral Acute Care Hospital (282N00000X)
United
030$57101.531154453579 - ALAMEDA HEALTH SYSTEM, FAIRMONT HOSPITAL943302014CARehabilitation Hospital (283X00000X)
United
030$72220.611922079094 - SOUTH NASSAU COMMUNITIES HOSPITAL111352310 - (NY) SOUTH NASSAU COMMUNITIES HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
030$131770.211639101116 - SIERRA VISTA HOSPITAL, INC., SIERRA VISTA REGIONAL MEDICAL CENTER952588614CAGeneral Acute Care Hospital (282N00000X)
United
030$131770.211639101116 - SIERRA VISTA HOSPITAL, INC., SIERRA VISTA REGIONAL MEDICAL CENTER952588614CAGeneral Acute Care Hospital (282N00000X)
United
030$33251.921215135785 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITTY MEDICAL CENTER -113465690NYSubstance Use Disorder Rehabilitation Hospital Unit (276400000X)
United
030$33251.921215135785 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITTY MEDICAL CENTER -113465690NYSubstance Use Disorder Rehabilitation Hospital Unit (276400000X)
United
030$28662.831114021292 - HURLEY MEDICAL CENTER386005601MIPsychiatric Hospital Unit (273R00000X)
United
030$53387.351376624981 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL352346161WAGeneral Acute Care Hospital (282N00000X)
United
030$7536.001104857119 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON NORTH MEDICAL CENTER591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDAFLGeneral Acute Care Hospital (282N00000X)
United
030$30659.331609963479 - BAPTIST MEMORIAL HOSPITAL, BAPTIST BEHAVIORAL HEALTH CARE-GOLDEN TRIANGLE621519754 - (MS) BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE INCMSPsychiatric Hospital Unit (273R00000X)
United
030$53387.351376624981 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL352346161WAGeneral Acute Care Hospital (282N00000X)
United
030$31742.471982664124 - MERCY HOSPITAL, IOWA CITY, IOWA, MERCY HOSPITAL420680391 - MERCY HOSPITALIAGeneral Acute Care Hospital (282N00000X)
United
030$39309.461609954395 - CARONDELET HEALTH NETWORK, CARONDELET OREILLY CARE CENTER474131755AZPsychiatric Hospital Unit (273R00000X)
United
030$39309.461609954395 - CARONDELET HEALTH NETWORK, CARONDELET OREILLY CARE CENTER474131755AZPsychiatric Hospital Unit (273R00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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MS-DRG 030 vs. Other Diseases & Disorders of the Nervous System Codes

The MS-DRG 030 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 030 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.

CodeComplexityDescription
029-APR-DRGHighOTHER PERCUTANEOUS INTRACRANIAL PROCEDURES
029-MS-DRGHighSpinal Procedures with CC or Spinal Neurostimulators
030-MS-DRGHighSpinal Procedures without CC/MCC
031-APR-DRGModerateBone Marrow 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 030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 030 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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