MS-DRG 073 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 073 by major payers:

$17,123.34

$20,543.20

$24,205.34

$24,639.89
| 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 073 | ||||||
United | 073 | $11234.90 | 1568473015 - TARPON SPRINGS HOSPITAL FOUNDATION INC, FLORIDA HOSPITAL NORTH PINELLAS | 590898901 - (FL) TARPON SPRINGS HOSPITAL FOUNDATION INC | FL | General Acute Care Hospital (282N00000X) |
United | 073 | $18616.81 | 1942260971 - TPG HOSPITAL LLC, NORTHWEST SURGICAL HOSPITAL | 731612939 | OK | General Acute Care Hospital (282N00000X) |
United | 073 | $28065.40 | 1912334517 - FAUQUIER MEDICAL CENTER LLC, FAUQUIER HOSPITAL | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 073 | $13964.99 | 1326037607 - HAMILTON COUNTY HOSPITAL DISTRICT, HAMILTON GENERAL HOSPITAL | 742570068 | TX | Critical Access Hospital (282NC0060X) |
United | 073 | $13964.99 | 1326037607 - HAMILTON COUNTY HOSPITAL DISTRICT, HAMILTON GENERAL HOSPITAL | 742570068 | TX | Critical Access Hospital (282NC0060X) |
United | 073 | $21586.91 | 1518978667 - CATHOLIC HEALTH INITIATIVES COLORADO, CENTURA HEALTH - ST. MARY CORWIN HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 073 | $40986.21 | 1659574069 - BANNER BAYWOOD MEDICAL CENTER, JOHN J. RHODES REHABILITATION INSTITUTE | 363386394 - (AZ) BANNER BAYWOOD MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 073 | $8888.00 | 1568442309 - THE COOPER HEALTH SYSTEM | 210634462 - (NJ) COOPER HEALTH SYSTEM A NEW JERSEY NON-PROFIT CORPORATION | NJ | General Acute Care Hospital (282N00000X) |
United | 073 | $22493.11 | 1720434806 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 073 | $16224.16 | 1992776041 - WATERTOWN MEDICAL CENTER LLC, WATERTOWN REGIONAL MEDICAL CENTER | 473937421 | WI | General Acute Care Hospital (282N00000X) |
United | 073 | $16327.71 | 1417984360 - MISSISSIPPI BAPTIST MEDICAL CENTER, INC., MS BAPITST MEDICAL CENTER GERI-PSYCH UNIT | 640881013 - (MS) MISSISSIPPI BAPTIST MEDICAL CENTER | MS | Psychiatric Hospital Unit (273R00000X) |
United | 073 | $18616.81 | 1942260971 - TPG HOSPITAL LLC, NORTHWEST SURGICAL HOSPITAL | 731612939 | OK | General Acute Care Hospital (282N00000X) |
United | 073 | $15221.92 | 1760488266 - ST. LUKE'S WARREN HOSPITAL, INC. | 221494454 - (NJ) ST LUKES WARREN HOSPITAL INC | NJ | General Acute Care Hospital (282N00000X) |
United | 073 | $21893.10 | 1649278730 - UPMC ALTOONA | 231352155 - UPMC | PA | General Acute Care Hospital (282N00000X) |
United | 073 | $29846.94 | 1861557753 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER BURLINGTON | 390806347 - AURORA HEALTH CARE INC | WI | 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 073 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 073 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 073 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 |
|---|---|---|
| 072-APR-DRG | Moderate | Allogeneic Bone Marrow Transplant |
| 072-MS-DRG | High | Non-specific Cerebrovascular Disorders without CC/MCC |
| 073-MS-DRG | High | Cranial and Peripheral Nerve Disorders with MCC |
| 074-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 073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 073 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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