MS-DRG 077 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 077 by major payers:

$18,055.01

$20,189.60

$24,319.91

$24,737.88
| 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 077 | ||||||
United | 077 | $11842.16 | 1952560914 - BANNER BOSWELL MEDICAL CENTER | 900389314 | AZ | General Acute Care Hospital (282N00000X) |
United | 077 | $13786.04 | 1356318968 - ALLEGHANY COUNTY MEMORIAL HOSPITAL INC, ALLEGHANY HEALTH | 560525657 - (NC) ALLEGHANY COUNTY MEMORIAL HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
United | 077 | $24032.58 | 1124369137 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH HAYMARKET MEDICAL CENTER | 540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 077 | $22769.25 | 1710368220 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 077 | $14300.62 | 1063495836 - SOUTH BROWARD HOSPITAL DISTRICT, MEMORIAL HOSPITAL PEMBROKE | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | General Acute Care Hospital (282N00000X) |
United | 077 | $17368.88 | 1003994302 - BAPTIST HEALTH HOSPITALS, BAPTIST MEDICAL CENTER STUTTGART SWING BED | 611570855 - (AR) BAPTIST HEALTH HOSPITALS | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 077 | $9294.80 | 1033261045 - CAMERON REGIONAL MEDICAL CENTER INC | 440668347 - (MO) CAMERON REGIONAL MEDICAL CENTER INC | MO | General Acute Care Hospital (282N00000X) |
United | 077 | $5328.00 | 1235510090 - HERITAGE PARK SURGICAL HOSPITAL LLC, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN | 611762781 | TX | General Acute Care Hospital (282N00000X) |
United | 077 | $52159.78 | 1740059948 - EAST COOPER MEDICAL CENTER LLC | 934555562 | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 077 | $7117.00 | 1053456111 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC | 730606129 - JANE PHILLIPS MEMORIAL MEDICAL CENTER INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 077 | $11807.54 | 1962567107 - UNIVERSITY MEDICAL CENTER, UMC | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 077 | $39368.80 | 1124574223 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH PATEWOOD HOSPITAL | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 077 | $44438.58 | 1104856095 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | General Acute Care Hospital (282N00000X) |
United | 077 | $22863.58 | 1508049800 - SUMMA BARBERTON CITIZENS HOSPITAL, BARBERTON CITIZENS HOSPITAL PSYCHIATRIC UNIT | 340714755 - SUMMA HEALTH SYSTEM | OH | Psychiatric Hospital Unit (273R00000X) |
United | 077 | $18883.41 | 1700825262 - OLEAN GENERAL HOSPITAL | 160743102 - OLEAN GENERAL HOSPITAL | NY | 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 077 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 077 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 077 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 |
|---|---|---|
| 076-APR-DRG | Moderate | Allogeneic Bone Marrow Transplant |
| 076-MS-DRG | High | Viral Meningitis without CC/MCC |
| 077-MS-DRG | High | Hypertensive Encephalopathy with MCC |
| 078-MS-DRG | High | Hypertensive Encephalopathy with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 077 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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