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 | $19321.21 | 1366097032 - INSPIRA MEDICAL CENTERS, INC. | 210634484 - (NJ) INSPIRA MEDICAL CENTERS INC | NJ | General Acute Care Hospital (282N00000X) |
United | 066 | $10763.20 | 1073580726 - METHODIST HOSPITAL PLAINVIEW TEXAS, COVENANT HOSPITAL PLAINVIEW | 752426010 - (TX) METHODIST HOSPITAL PLAINVIEW TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 066 | $10845.00 | 1922351634 - STAMFORD HOSPITAL | 60646917 - (CT) STAMFORD HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 066 | $4120.00 | 1134448541 - SMYTH COUNTY COMMUNITY HOSPITAL, SOUTHWEST VIRGINIA INPATIENT REHABILITAION UNIT | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 066 | $7840.54 | 1134172406 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP, MEDICAL CITY ARLINGTON | 621682201 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 066 | $9990.65 | 1043915523 - CATHOLIC HEALTH INITIATIVES COLORADO, HOLY CROSS HOSPITAL - SALT LAKE | 621795214 | UT | General Acute Care Hospital (282N00000X) |
United | 066 | $3693.00 | 1780690180 - HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH, IBERIA MEDICAL CENTER | 726014963 | LA | General Acute Care Hospital (282N00000X) |
United | 066 | $8888.01 | 1396109500 - GOTTLIEB MEMORIAL HOSPITAL | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 066 | $12591.58 | 1083619712 - GENERAL HOSPITAL, IRAAN GENERAL HOSPITAL DISTRICT | 746003374 - (TX) GENERAL HOSPITAL | TX | Critical Access Hospital (282NC0060X) |
United | 066 | $15372.58 | 1245207521 - PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S, UPHS PRESBYTERIAN MEDICAL CENTER | 311538725 - (PA) PENNSYLVANIA HOSPITAL OF THE UNIV OF PENNSYLVANIA HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 066 | $14699.44 | 1699884858 - BANNER GATEWAY MEDICAL CENTER | 900220728 | AZ | General Acute Care Hospital (282N00000X) |
United | 066 | $17977.43 | 1306938071 - ADVENTIST HEALTH SYSTEM-SUNBELT, INC, ADVENTHEALTH ORLANDO | 590724459 - (FL) ADVENTIST HEALTH SYSTEM-SUNBELT INC | FL | General Acute Care Hospital (282N00000X) |
United | 066 | $13427.55 | 1124346754 - INTEGRIS BAPTIST MEDICAL CENTER INC, INTEGRIS MENTAL HEALTH CENTER | 731034824 - (OK) INTEGRIS BAPTIST MEDICAL CENTER INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 066 | $16801.13 | 1144793654 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH LANCASTER REHABILITATION CENTER | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 066 | $8622.00 | 1568785137 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | 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 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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