MS-DRG 070 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 070 by major payers:

$19,586.11

$23,204.67

$27,534.30

$27,751.06
| 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 070 | ||||||
United | 070 | $42204.14 | 1003956913 - MISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDENCE MISSION HOSPITAL | 951643360 - (CA) MISSION HOSPITAL REGIONAL MEDICAL CENTER | CA | Rehabilitation Hospital (283X00000X) |
United | 070 | $41527.76 | 1609989979 - REGIONAL WEST MEDICAL CENTER | 470385129 - REGIONAL WEST MEDICAL CENTER | NE | Rehabilitation Hospital Unit (273Y00000X) |
United | 070 | $23263.50 | 1669409314 - NORTHFIELD HOSPITAL | 416007241 | MN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 070 | $5761.00 | 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 | 070 | $42954.98 | 1184038663 - NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NJ | General Acute Care Hospital (282N00000X) |
United | 070 | $37093.82 | 1396751616 - SVMC HOLDINGS, INC | 832550272 - (CT) SVMC HOLDINGS INC | CT | Rehabilitation Hospital Unit (273Y00000X) |
United | 070 | $29356.16 | 1609834001 - LEHIGH VALLEY HOSPITAL | 231689692 - LEHIGH VALLEY HOSPITAL | PA | Psychiatric Hospital Unit (273R00000X) |
United | 070 | $17391.48 | 1083778302 - WHITE COUNTY MEDICAL CENTER | 710772737 - WHITE COUNTY MEDICAL CENTER | AR | Psychiatric Hospital Unit (273R00000X) |
United | 070 | $23461.63 | 1104653153 - HSA CGH LLC | 995038459 | FL | General Acute Care Hospital (282N00000X) |
United | 070 | $3351.00 | 1225450588 - PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 070 | $3351.00 | 1225450588 - PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 070 | $22376.44 | 1003236878 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL INC, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET | 221487243 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 070 | $31221.89 | 1699754390 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, THE UNIVERSITY OF KANSAS HOSPITAL | 481202402 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY | KS | Psychiatric Hospital Unit (273R00000X) |
United | 070 | $3000.00 | 1801902713 - SAMARITAN MEDICAL CENTER | 150533577 - (NY) SAMARITAN MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 070 | $16840.98 | 1770789752 - CHATHAM HOSPITAL INC | 560611546 - (NC) CHATHAM HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
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 070 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 070 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 070 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 |
|---|---|---|
| 069-APR-DRG | Moderate | Pancreas Transplant |
| 069-MS-DRG | High | Transient Ischemia without Thrombolytic |
| 070-MS-DRG | High | Non-specific Cerebrovascular Disorders with MCC |
| 071-APR-DRG | Moderate | Allogeneic Bone Marrow 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 070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 070 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 070) and we'll show you how you compare in 15 minutes or less.
