MS-DRG 067 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 067 by major payers:
$16,887.72
$18,671.72
$23,176.37
$23,422.50
| 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 067 | ||||||
United | 067 | $37868.14 | 1144384876 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL - ZALE LIPSHY | 753175630 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $16365.37 | 1316190069 - ROANE COUNTY MEDICAL CENTER, EMORY RIVER GERIATRIC CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $18568.89 | 1487715645 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH MEDICAL CENTER | 992141118 | IL | General Acute Care Hospital (282N00000X) |
United | 067 | $10248.00 | 1477670966 - RUSH MEDICAL FOUNDATION, OCHSNER WATKINS HOSPITAL SWING BED | 640345119 - (MS) RUSH MEDICAL FOUNDATION | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 067 | $2792.00 | 1508856535 - LANCASTER HOSPITAL CORPORATION, PALMDALE REGIONAL MEDICAL CENTER | 953565954 - (CA) LANCASTER HOSPITAL CORPORATION | CA | General Acute Care Hospital (282N00000X) |
United | 067 | $3000.00 | 1598876732 - BROOKS | 160743301 - (NY) BROOKS-TLC HOSPITAL SYSTEM INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $35839.07 | 1437575040 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $5761.00 | 1669569984 - IRVING-COPPELL SURGICAL HOSPITAL LLP, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS | 542086863 | TX | General Acute Care Hospital (282N00000X) |
United | 067 | $5761.00 | 1669569984 - IRVING-COPPELL SURGICAL HOSPITAL LLP, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS | 542086863 | TX | General Acute Care Hospital (282N00000X) |
United | 067 | $37868.14 | 1144384876 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL - ZALE LIPSHY | 753175630 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $19094.10 | 1598835308 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 067 | $9225.51 | 1306925102 - SOUTHERN HEALTH CORP OF HOUSTON INC, TRACE REGIONAL HOSPITAL | 581869599 - (MS) SOUTHERN HEALTH CORP OF HOUSTON INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 067 | $29214.39 | 1669534517 - KISHWAUKEE COMMUNITY HOSPITAL, NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL | 237087041 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 067 | $31449.50 | 1538177589 - TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 067 | $12832.21 | 1982093837 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 067 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 067 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 067 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 |
|---|---|---|
| 066-APR-DRG | Moderate | Pancreas Transplant |
| 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 |
| 068-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 067. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 067 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 067) and we'll show you how you compare in 15 minutes or less.