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 | $4958.00 | 1285685727 - DICKENSON COMMUNITY HOSPITAL, INC. | 770599553 - DICKENSON COMMUNITY HOSPITAL INC | VA | Critical Access Hospital (282NC0060X) |
United | 067 | $10639.67 | 1265402838 - MADISON COMMUNITY HOSPITAL, MADISON REGIONAL HEALTH SYSTEM | 460228038 - (SD) MADISON COMMUNITY HOSPITAL | SD | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 067 | $33467.05 | 1548536006 - EDEN MEDICAL CENTER, SAN LEANDRO HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 067 | $22476.75 | 1457715146 - PROSPECT CCMC, LLC, CROZER CHESTER MEDICAL CENTER | 811507712 | PA | General Acute Care Hospital (282N00000X) |
United | 067 | $24087.32 | 1073506184 - APPALACHIAN REGIONAL HEALTHCARE, INC., HAZARD ARH REGIONAL MEDICAL CENTER | 520795508 - APPALACHIAN REGIONAL HEALTHCARE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 067 | $25741.55 | 1649294026 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK UNIVERSITY HOSPITAL | 113243405 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 067 | $10123.00 | 1205018439 - LAKE POINTE OPERATING COMPANY, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER LAKE POINTE | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 067 | $38934.57 | 1447227491 - HEALTHALLIANCE MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Rehabilitation Hospital Unit (273Y00000X) |
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 | $20816.67 | 1457994188 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MICRO-HOSPITAL WESLACO | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 067 | $35922.94 | 1831209048 - OCHSNER MEDICAL CENTER- WESTBANK | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | General Acute Care Hospital (282N00000X) |
United | 067 | $27481.60 | 1912303579 - PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC, ST. MARY'S MEDICAL CENTER | 472264005 | MO | General Acute Care Hospital (282N00000X) |
United | 067 | $58392.41 | 1659468833 - NORTHERN DUTCHESS HOSPITAL | 141338467 - (NY) NORTHERN DUTCHESS HOSPITAL | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 067 | $45090.01 | 1336206580 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 067 | $37713.92 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | 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 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.
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