MS-DRG 066 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 066 by major payers:
$9,439.30
$9,791.19
$12,282.61
$12,157.59
| 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 066 | ||||||
United | 066 | $14921.50 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 066 | $6356.62 | 1457323248 - CHHS HOSPITAL COMPANY LLC, CHESTNUT HILL HOSPITAL | 883577015 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 066 | $6356.62 | 1457323248 - CHHS HOSPITAL COMPANY LLC, CHESTNUT HILL HOSPITAL | 883577015 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 066 | $12661.96 | 1932208576 - UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL, UNC HOSPITALS | 561118388 | NC | General Acute Care Hospital (282N00000X) |
United | 066 | $5950.35 | 1376854208 - RCHP, SHOALS HOSPITAL | 272451336 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 066 | $10581.58 | 1205845567 - SAINT AGNES MEDICAL CENTER | 941437713 - (CA) SAINT AGNES MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 066 | $12900.25 | 1114015971 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE ST VINCENT MEDICAL CENTER | 930386929 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | General Acute Care Hospital (282N00000X) |
United | 066 | $8190.00 | 1932584802 - HOLY CROSS HOSPITAL | 590791028 - HOLY CROSS HOSPITAL INC | FL | Rehabilitation Hospital (283X00000X) |
United | 066 | $5950.35 | 1376854208 - RCHP, SHOALS HOSPITAL | 272451336 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 066 | $12728.73 | 1164436283 - KENMORE MERCY HOSPITAL, KENMORE MERCY HOSPITAL REHABILITATION UNIT | 160762843 - (NY) KENMORE MERCY HOSPITAL | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 066 | $7131.43 | 1326546797 - HENDERSON HOSPITAL, LLC, UTHEALTH EAST TEXAS HENDERSON HOSPITAL | 824019349 | TX | General Acute Care Hospital (282N00000X) |
United | 066 | $2500.00 | 1205833241 - CLHG-WINN, LLC, WINN PARISH MEDICAL CENTER | 813465517 | LA | General Acute Care Hospital (282N00000X) |
United | 066 | $3083.17 | 1497003610 - CLAIBORNE COUNTY HOSPITAL | 460738609 | MS | Critical Access Hospital (282NC0060X) |
United | 066 | $11587.53 | 1730195017 - AMERICAN ONCOLOGIC HOSPITAL | 231352156 - (PA) THE AMERICAN ONCOLOGIC HOSPITAL | PA | Special Hospital (284300000X) |
United | 066 | $4540.25 | 1699705301 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL SWG | 461353294 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 066 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 066 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 066 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 |
|---|---|---|
| 065-APR-DRG | Moderate | Pancreas Transplant |
| 065-MS-DRG | High | Intracranial Hemorrhage or Cerebral Infarction with CC or TPA in 24 Hours |
| 066-MS-DRG | High | Intracranial Hemorrhage or Cerebral Infarction without CC/MCC |
| 067-MS-DRG | High | Non-specific CVA and Precerebral Occlusion without Infarction with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 066 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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