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MS-DRG 077 Fee Schedule

Last Verified: March 2026

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.

Hypertensive Encephalopathy with MCC
Key FactDetail
Service Type

Diseases & Disorders of the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 077 by major payers:

bcbs

$18,055.01

uhc

$20,189.60

aetna

$24,319.91

cigna

$24,737.88

Preview provider-level rates for...
For billing codeMS-DRG 077
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 077

United
077$11842.161952560914 - BANNER BOSWELL MEDICAL CENTER900389314AZGeneral Acute Care Hospital (282N00000X)
United
077$13786.041356318968 - ALLEGHANY COUNTY MEMORIAL HOSPITAL INC, ALLEGHANY HEALTH560525657 - (NC) ALLEGHANY COUNTY MEMORIAL HOSPITAL INCNCCritical Access Hospital (282NC0060X)
United
077$24032.581124369137 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH HAYMARKET MEDICAL CENTER540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTERVAGeneral Acute Care Hospital (282N00000X)
United
077$22769.251710368220 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK474063149TNRehabilitation Hospital Unit (273Y00000X)
United
077$14300.621063495836 - SOUTH BROWARD HOSPITAL DISTRICT, MEMORIAL HOSPITAL PEMBROKE596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICTFLGeneral Acute Care Hospital (282N00000X)
United
077$17368.881003994302 - BAPTIST HEALTH HOSPITALS, BAPTIST MEDICAL CENTER STUTTGART SWING BED611570855 - (AR) BAPTIST HEALTH HOSPITALSARMedicare Defined Swing Bed Hospital Unit (275N00000X)
United
077$9294.801033261045 - CAMERON REGIONAL MEDICAL CENTER INC440668347 - (MO) CAMERON REGIONAL MEDICAL CENTER INCMOGeneral Acute Care Hospital (282N00000X)
United
077$5328.001235510090 - HERITAGE PARK SURGICAL HOSPITAL LLC, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL AT SHERMAN611762781TXGeneral Acute Care Hospital (282N00000X)
United
077$52159.781740059948 - EAST COOPER MEDICAL CENTER LLC934555562SCRehabilitation Hospital Unit (273Y00000X)
United
077$7117.001053456111 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC730606129 - JANE PHILLIPS MEMORIAL MEDICAL CENTER INCOKRehabilitation Hospital Unit (273Y00000X)
United
077$11807.541962567107 - UNIVERSITY MEDICAL CENTER, UMC751301362 - LUBBOCK COUNTY HOSPITAL DISTRICTTXGeneral Acute Care Hospital (282N00000X)
United
077$39368.801124574223 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH PATEWOOD HOSPITAL811723202 - PRISMA HEALTH - UPSTATESCGeneral Acute Care Hospital (282N00000X)
United
077$44438.581104856095 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER752694137CAGeneral Acute Care Hospital (282N00000X)
United
077$22863.581508049800 - SUMMA BARBERTON CITIZENS HOSPITAL, BARBERTON CITIZENS HOSPITAL PSYCHIATRIC UNIT340714755 - SUMMA HEALTH SYSTEMOHPsychiatric Hospital Unit (273R00000X)
United
077$18883.411700825262 - OLEAN GENERAL HOSPITAL160743102 - OLEAN GENERAL HOSPITALNYPsychiatric Hospital Unit (273R00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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.

CodeComplexityDescription
076-APR-DRGModerateAllogeneic Bone Marrow Transplant
076-MS-DRGHighViral Meningitis without CC/MCC
077-MS-DRGHighHypertensive Encephalopathy with MCC
078-MS-DRGHighHypertensive 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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