MS-DRG 060 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 060 by major payers:
$10,797.11
$12,425.94
$14,119.24
$14,502.98
| 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 060 | ||||||
United | 060 | $8359.00 | 1275576381 - SADDLEBACK MEMORIAL MEDICAL CENTER | 952585792 - (CA) MEMORIAL HEALTH SERVICES | CA | General Acute Care Hospital (282N00000X) |
United | 060 | $19077.61 | 1982604021 - GEORGETOWN MEMORIAL HOSPITAL, TIDELANDS GEORGETOWN MEMORIAL HOSPITAL | 570341194 - GEORGETOWN MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 060 | $13786.69 | 1073606737 - DELAWARE COUNTY MEMORIAL HOSPITAL | 811520273 | PA | General Acute Care Hospital (282N00000X) |
United | 060 | $15183.29 | 1356410237 - HENRY FORD HEALTH SYSTEM | 381357020 - HENRY FORD HEALTH SYSTEM | MI | Psychiatry Physician (2084P0800X) |
United | 060 | $1200.00 | 1568626273 - ALLEGIANCE HOSPITAL OF MANY,LLC, SABINE MEDICAL CENTER | 262074318 | LA | General Acute Care Hospital (282N00000X) |
United | 060 | $16930.58 | 1598980310 - UNIVERSITY OF COLORADO | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | Children's Hospital (282NC2000X) |
United | 060 | $15620.57 | 1992100127 - MERCY HEALTH YOUNGSTOWN LLC, MERCY HEALTH ST ELIZABETH YOUNGSTOWN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | Psychiatric Hospital Unit (273R00000X) |
United | 060 | $14187.00 | 1639197395 - HOLY CROSS HOSPITAL INC, HOLY CROSS HOSPITAL | 590791028 - HOLY CROSS HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 060 | $12770.00 | 1477578060 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF ORTHOPEDICS, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 060 | $18201.96 | 1144266024 - INDIANA UNIVERSITY HEALTH INC, INDIANA UNIVERSITY HEALTH | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 060 | $3564.00 | 1073519377 - SMYTH COUNTY COMMUNITY HOSPITAL | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 060 | $9816.40 | 1568848059 - CUMBERLAND SURGICAL HOSPITAL OF SAN ANTONIO LLC, LEGENT ORTHOPEDIC & SPINE | 474612520 | TX | General Acute Care Hospital (282N00000X) |
United | 060 | $13786.69 | 1073606737 - DELAWARE COUNTY MEMORIAL HOSPITAL | 811520273 | PA | General Acute Care Hospital (282N00000X) |
United | 060 | $5185.00 | 1346570710 - ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL, LLC, BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL | 261578178 - (TX) ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 060 | $21030.30 | 1447212592 - BON SECOURS ST FRANCIS MEDICAL CENTER LLC, BON SECOURS ST. FRANCIS MEDICAL CENTER | 311716973 | VA | 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 060 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 060 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 060 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 |
|---|---|---|
| 059-APR-DRG | High | ANOXIC & OTHER SEVERE BRAIN DAMAGE |
| 059-MS-DRG | High | Multiple Sclerosis and Cerebellar Ataxia with CC |
| 060-MS-DRG | High | Multiple Sclerosis and Cerebellar Ataxia without CC/MCC |
| 061-APR-DRG | Moderate | Pancreas 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 060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 060 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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