MS-DRG 074 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 074 by major payers:
$11,921.61
$14,066.38
$16,755.34
$16,802.89
| 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 074 | ||||||
United | 074 | $10045.55 | 1427030774 - SOUTHEASTERN REGIONAL MEDICAL CENTER, UNC HEALTH SOUTHEASTERN | 560530233 - SOUTHEASTERN REGIONAL MEDICAL CENTER | NC | General Acute Care Hospital (282N00000X) |
United | 074 | $17804.50 | 1538193123 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 074 | $1500.00 | 1912121120 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER, S M R M C INPATIENT REHAB | 640468873 | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 074 | $3783.00 | 1861411985 - TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC, TAKOMA ADVENTIST HOSPITAL | 510603966 - TAKOMA REGIONAL HOSPITAL INC | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 074 | $25308.14 | 1750988770 - KECK MEDICAL CENTER OF USC | 851644866 - (CA) KECK MEDICAL CENTER OF USC | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 074 | $14565.45 | 1982643961 - THOREK MEMORIAL HOSPITAL | 366000085 - (IL) THOREK MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 074 | $3229.00 | 1245221050 - UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC, SOUTHWEST HEALTHCARE - INLAND VALLEY HOSPITAL | 233059262 | CA | General Acute Care Hospital (282N00000X) |
United | 074 | $3229.00 | 1245221050 - UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS INC, SOUTHWEST HEALTHCARE - INLAND VALLEY HOSPITAL | 233059262 | CA | General Acute Care Hospital (282N00000X) |
United | 074 | $4708.00 | 1104812684 - JOHNSTON MEMORIAL HOSPITAL, INC | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 074 | $15100.49 | 1528175981 - OTTUMWA REGIONAL HEALTH CENTER INC | 272200283 | IA | General Acute Care Hospital (282N00000X) |
United | 074 | $11059.36 | 1750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 074 | $2954.00 | 1174553598 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC, HAWKINS COUNTY MEMORIAL HOSPITAL | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | General Acute Care Hospital (282N00000X) |
United | 074 | $8653.50 | 1548268436 - STRAITH HOSPITAL FOR SPECIAL SURGERY, STRAITH MEMORIAL HOSPITAL | 381455020 - (MI) STRAITH HOSPITAL FOR SPECIAL SURGERY | MI | General Acute Care Hospital (282N00000X) |
United | 074 | $17404.34 | 1851386692 - PALOS COMMUNITY HOSPITAL | 362169179 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 074 | $17804.50 | 1538193123 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | Rehabilitation Hospital Unit (273Y00000X) |
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 074 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 074 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 074 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 |
|---|---|---|
| 073-APR-DRG | High | ORBIT & EYE PROCEDURES |
| 073-MS-DRG | High | Cranial and Peripheral Nerve Disorders with MCC |
| 074-MS-DRG | High | Cranial and Peripheral Nerve Disorders without MCC |
| 075-MS-DRG | High | Viral Meningitis with CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 074. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 074 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 074) and we'll show you how you compare in 15 minutes or less.