MS-DRG 075 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 075 by major payers:
$19,421.48
$21,691.41
$27,363.93
$27,518.45
| 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 075 | ||||||
United | 075 | $25284.83 | 1437135902 - AU MEDICAL CENTER, INC | 582144788 - (GA) AU MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 075 | $44648.05 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 075 | $30024.88 | 1811912405 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF NEUROLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 075 | $10339.53 | 1851921571 - BHSM REHABILITATION, LLC | 823481322 | AZ | Rehabilitation Hospital (283X00000X) |
United | 075 | $33597.12 | 1760436810 - COLISEUM MEDICAL CENTER, LLC, PIEDMONT MACON MEDICAL CENTER | 621736983 - (GA) COLISEUM MEDICAL CENTER LLC | GA | Psychiatric Hospital Unit (273R00000X) |
United | 075 | $15184.67 | 1053481630 - ANDERSON HOSPITAL, ANDERSON HOSPITAL | 370662561 - ANDERSON HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 075 | $15261.96 | 1649278730 - UPMC ALTOONA | 231352155 - UPMC | PA | General Acute Care Hospital (282N00000X) |
United | 075 | $17430.68 | 1093532673 - WBH SCRANTON I, LLC | 274564798 | PA | General Acute Care Hospital (282N00000X) |
United | 075 | $31296.00 | 1447284039 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 075 | $27787.48 | 1881412740 - HSA PGH LLC | 862724926 | FL | General Acute Care Hospital (282N00000X) |
United | 075 | $40360.12 | 1780653618 - H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. | 593238634 - (FL) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC | FL | Special Hospital (284300000X) |
United | 075 | $24029.19 | 1184655953 - BROOKWOOD HEALTH SERVICES, INC., BROOKWOOD MEDICAL CENTER | 474757851 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 075 | $17430.68 | 1093532673 - WBH SCRANTON I, LLC | 274564798 | PA | General Acute Care Hospital (282N00000X) |
United | 075 | $21054.61 | 1760549562 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COX MEDICAL CENTER BRANSON | 440577118 - LESTER E COX MEDICAL CENTER | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 075 | $32475.88 | 1851846661 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CTR FOR PED & INT MED-WEST | 811723202 - PRISMA HEALTH - UPSTATE | SC | 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 075 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 075 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 075 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 |
|---|---|---|
| 074-APR-DRG | Moderate | Allogeneic Bone Marrow Transplant |
| 074-MS-DRG | High | Cranial and Peripheral Nerve Disorders without MCC |
| 075-MS-DRG | High | Viral Meningitis with CC/MCC |
| 076-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 075. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 075 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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