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See a sample rate comparisonMS-DRG 057 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.
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
| 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 057 by major payers:
$15,224.49
$20,899.48
$20,970.68
$21,372.92
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MS-DRG 057
5 of 25 sample ratesHigher to lower in this preview
Harborview Medical Center
$54,621.00Published rateProvidence Health & Services Oregon, Providence Portland Medical Center
$26,810.75Published rateAdvocate Lutheran General Hospital
Advocate Health And Hospitals Corporation
$24,095.25Published rateSoutheast Hospital, Southeast Missouri Hospital Association
Southeast Hospital
$16,092.58Published rateWebster Health Services, Inc., Webster General Hospital
Webster Health Services Inc
$1,688.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 057 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 057 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 057 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 |
|---|---|---|
| 056-APR-DRG | High | BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA |
| 056-MS-DRG | High | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC |
| 057-MS-DRG | High | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC |
| 058-APR-DRG | High | OTHER DISORDERS OF NERVOUS SYSTEM |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 057. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 057 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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