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 | $28431.23 | 1669424354 - SILVERTON HEALTH, LEGACY SILVERTON MEDICAL CENTER | 930281321 - (OR) SILVERTON HEALTH | OR | General Acute Care Hospital (282N00000X) |
United | 073 | $20248.44 | 1336818707 - PREFERRED HOSPITAL LEASING SHAMROCK, INC., SHAMROCK GENERAL HOSPITAL | 871082346 | TX | Critical Access Hospital (282NC0060X) |
United | 073 | $35819.28 | 1427017854 - MERCY MEDICAL CENTER | 111635088 - (NY) MERCY MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 073 | $34263.39 | 1548293343 - DANBURY HOSPITAL | 60646597 - DANBURY HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 073 | $12689.37 | 1407072390 - MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY, MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY - SWING BED | 730725208 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 073 | $22847.06 | 1659523132 - THE METHODIST HOSPITAL, THE METHODIST HOSPITAL | 350868133 - METHODIST HOSPITALS INC | IN | General Acute Care Hospital (282N00000X) |
United | 073 | $33021.23 | 1649355702 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 073 | $23162.68 | 1619331022 - PROSPECT CCMC, LLC | 811507712 | PA | General Acute Care Hospital (282N00000X) |
United | 073 | $16508.42 | 1215534466 - COVENANT HOSPITAL HOBBS, COVENANT HEALTH HOBBS HOSPITAL | 844273963 - (NM) COVENANT HOSPITAL HOBBS | NM | General Acute Care Hospital (282N00000X) |
United | 073 | $22882.60 | 1932213600 - RUSH UNIVERSITY MEDICAL CENTER | 362174823 - (IL) RUSH UNIVERSITY MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 073 | $19637.83 | 1831185156 - KATHERINE SHAW BETHEA HOSPITAL-DME | 361000540 - (IL) KATHERINE SHAW BETHEA HOSPITAL | IL | 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 | $25258.10 | 1669752234 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 073 | $23607.49 | 1578058137 - RCCH TRIOS HEALTH LLC | 823962056 | WA | General Acute Care Hospital (282N00000X) |
United | 073 | $10046.40 | 1699705301 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL SWG | 461353294 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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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