MS-DRG 076 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 076 by major payers:
$11,619.92
$12,310.15
$14,741.03
$15,001.97
| 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 076 | ||||||
United | 076 | $6682.39 | 1124170691 - WILLIS KNIGHTON MEDICAL CENTER, INC., WILLIS KNIGHTON SOUTH HOSPITAL | 720400933 - WILLIS-KNIGHTON MEDICAL CENTER | LA | General Acute Care Hospital (282N00000X) |
United | 076 | $22084.44 | 1164473138 - THE KINGSTON HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 076 | $12861.01 | 1679544803 - TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 231352685 - TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | PA | Psychiatric Hospital Unit (273R00000X) |
United | 076 | $8680.08 | 1558759498 - BANNER | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 076 | $8427.58 | 1639151301 - CAMPBELL COUNTY HMA, LLC, TENNOVA HEALTHCARE-LAFOLLETTE MEDICAL CENTER | 452528273 - CAMPBELL COUNTY HMA LLC | TN | General Acute Care Hospital (282N00000X) |
United | 076 | $9895.17 | 1770789752 - CHATHAM HOSPITAL INC | 560611546 - (NC) CHATHAM HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
United | 076 | $23885.25 | 1356687735 - CENTRAL VALLEY PERFUSION, INC | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 076 | $38301.66 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 076 | $16469.35 | 1710986732 - DUKE UNIVERSITY HEALTH SYSTEM, INC., DURHAM REGIONAL HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | Rehabilitation Hospital Unit (273Y00000X) |
United | 076 | $18290.32 | 1033218128 - THE UNIVERSITY OF CHICAGO MEDICAL CENTER | 363488183 - UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 076 | $7326.56 | 1669564662 - SARAH BUSH LINCOLN HEALTH CENTER | 237098532 - SARAH BUSH LINCOLN HEALTH CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 076 | $3850.97 | 1912420928 - LEFLORE COUNTY HOSPITAL AUTHORITY, SWING BED | 736060835 - (OK) LEFLORE COUNTY HOSPITAL AUTHORITY | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 076 | $12579.19 | 1396015251 - THE METHODIST HOSPITALS, INC | 350868133 - METHODIST HOSPITALS INC | IN | Psychiatric Hospital Unit (273R00000X) |
United | 076 | $8670.83 | 1205859766 - WATAUGA MEDICAL CENTER INC, WATAUGA MEDICAL CENTER | 560510824 - (NC) WATAUGA MEDICAL CENTER INC | NC | General Acute Care Hospital (282N00000X) |
United | 076 | $3288.00 | 1346236015 - UHS-CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Psychiatric Hospital Unit (273R00000X) |
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 076 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 076 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 076 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 |
|---|---|---|
| 075-MS-DRG | High | Viral Meningitis with CC/MCC |
| 076-MS-DRG | High | Viral Meningitis without CC/MCC |
| 077-MS-DRG | High | Hypertensive Encephalopathy with 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 076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 076 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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