MS-DRG 030 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 030 by major payers:
$26,152.91
$28,695.42
$36,015.71
$36,290.88
| 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 030 | ||||||
United | 030 | $16974.73 | 1952560914 - BANNER BOSWELL MEDICAL CENTER | 900389314 | AZ | General Acute Care Hospital (282N00000X) |
United | 030 | $33785.51 | 1518993880 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 030 | $37695.35 | 1992100127 - MERCY HEALTH YOUNGSTOWN LLC, MERCY HEALTH ST ELIZABETH YOUNGSTOWN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | Psychiatric Hospital Unit (273R00000X) |
United | 030 | $38506.00 | 1821041765 - SAN JOSE HEALTHCARE SYSTEM, L.P., REGIONAL MEDICAL CENTER OF SAN JOSE | 946000533 | CA | General Acute Care Hospital (282N00000X) |
United | 030 | $34198.28 | 1134794506 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 030 | $37716.07 | 1841307865 - ST. JOSEPH'S MEDICAL CENTER | 410695602 - (MN) ST JOSEPH S MEDICAL CENTER | MN | Psychiatric Hospital Unit (273R00000X) |
United | 030 | $2500.00 | 1194893263 - BAYLOR COUNTY HOSPITAL DISTRICT, SEYMOUR HOSPITAL | 752299922 | TX | Critical Access Hospital (282NC0060X) |
United | 030 | $2792.00 | 1033109947 - LANCASTER HOSPITAL CORPORATION, PALMDALE REGIONAL MEDICAL CENTER | 953565954 - (CA) LANCASTER HOSPITAL CORPORATION | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 030 | $44394.94 | 1013534445 - SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT, SARASOTA MEMORIAL HOSPITAL - VENICE | 596012500 - (FL) SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT | FL | General Acute Care Hospital (282N00000X) |
United | 030 | $36449.82 | 1346244126 - MERCY HEALTH-LOURDES HOSPITAL LLC | 610600313 | KY | General Acute Care Hospital (282N00000X) |
United | 030 | $38506.00 | 1821041765 - SAN JOSE HEALTHCARE SYSTEM, L.P., REGIONAL MEDICAL CENTER OF SAN JOSE | 946000533 | CA | General Acute Care Hospital (282N00000X) |
United | 030 | $11884.87 | 1265422901 - CLARION HOSPITAL | 251010039 - (PA) CLARION HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 030 | $39309.46 | 1609954395 - CARONDELET HEALTH NETWORK, CARONDELET OREILLY CARE CENTER | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 030 | $20370.77 | 1689011280 - SOUTHERN REGIONAL MEDICAL CORPORATION, LEONARD J. CHABERT MEDICAL CENTER PSYCH | 462743282 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 030 | $5326.00 | 1053576678 - HUMC OPCO LLC, HOBOKEN UNIVERSITY MEDICAL CENTER | 452147328 - (NJ) HUMC OPCO LLC (D/B/A CAREPOINT HEALTH - HOBOKEN UNIVERSITY MED CENTER) | NJ | Psychiatric Hospital Unit (273R00000X) |
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 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.
| Code | Complexity | Description |
|---|---|---|
| 029-APR-DRG | High | OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES |
| 029-MS-DRG | High | Spinal Procedures with CC or Spinal Neurostimulators |
| 030-MS-DRG | High | Spinal Procedures without CC/MCC |
| 031-APR-DRG | Moderate | Bone 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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