MS-DRG 080 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 080 by major payers:
$21,988.46
$24,507.35
$31,211.30
$31,621.42
| 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 080 | ||||||
United | 080 | $34768.60 | 1144573189 - UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AT SOUTH CAMPUS | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 080 | $39431.98 | 1427083153 - LAKEWOOD REGIONAL MEDICAL CENTER, INC., LAKEWOOD REGIONAL MEDICAL CENTER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 080 | $21552.52 | 1396835138 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 080 | $41757.71 | 1669424354 - SILVERTON HEALTH, LEGACY SILVERTON MEDICAL CENTER | 930281321 - (OR) SILVERTON HEALTH | OR | General Acute Care Hospital (282N00000X) |
United | 080 | $1864.00 | 1598875460 - NORTH MISSISSIPPI MEDICAL CENTER, INC., NORTH MISSISSIPPI MEDICAL CENTER | 640662976 - NORTH MISSISSIPPI MEDICAL CENTER INC | MS | General Acute Care Hospital (282N00000X) |
United | 080 | $21552.52 | 1396835138 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 080 | $25622.74 | 1790785996 - VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | 540505989 - (VA) VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 080 | $22791.00 | 1699149203 - SAMARITAN HOSPITAL OF TROY, NEW YORK, ST. PETER'S URGENT CARE | 141338544 - SAMARITAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 080 | $54320.76 | 1699756221 - MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD REGIONAL MEDICAL CENTER | 570370242 - MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC | SC | General Acute Care Hospital (282N00000X) |
United | 080 | $21830.19 | 1114591039 - UOFL HEALTH-LOUISVILLE INC, UOFL HEALTH - FRAZIER REHAB INSTITUTE - TRAGER | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 080 | $50076.66 | 1720011810 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 080 | $34768.60 | 1144573189 - UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AT SOUTH CAMPUS | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 080 | $17572.88 | 1174940084 - DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC, RUTHERFORD REGIONAL MEDICAL CENTER | 300811171 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 080 | $48906.23 | 1447924154 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST MEDICAL CENTER SOUTH | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 080 | $32359.40 | 1013994359 - FAIRVIEW HEALTH SERVICES, UNIVERSITY OF MN MEDICAL CENTER, FAIRVIEW | 410991680 - FAIRVIEW HEALTH SERVICES | MN | 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 080 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 080 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 080 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 |
|---|---|---|
| 079-MS-DRG | High | Hypertensive Encephalopathy without CC/MCC |
| 080-MS-DRG | High | Non-traumatic Stupor and Coma with MCC |
| 081-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 081-MS-DRG | High | Non-traumatic Stupor and Coma without 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 080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 080 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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