MS-DRG 081 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 081 by major payers:
$10,402.64
$12,518.30
$14,291.32
$14,690.00
| 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 081 | ||||||
United | 081 | $15021.49 | 1932125911 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF OB/GYN, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 081 | $24362.64 | 1417134156 - GEORGETOWN UNIVERSITY HOSPITAL | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 081 | $24366.25 | 1750433793 - GOOD SAMARITAN HOSPITAL | 131740104 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 081 | $3564.00 | 1497859789 - MOUNTAIN STATES HEALTH ALLIANCE, JOHNSON COUNTY COMMUNITY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | Critical Access Hospital (282NC0060X) |
United | 081 | $24562.28 | 1851944029 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN INPATIENT REHABILITATION | 753175630 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 081 | $11655.24 | 1639422504 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL SCHERTZ | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 081 | $8071.22 | 1902881295 - SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, THE CORE INSTITUTE SPECIALTY HOSPITAL | 202615543 - (AZ) SURGICAL SPECIALTY HOSPITAL OF ARIZONA | AZ | Special Hospital (284300000X) |
United | 081 | $21343.82 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 081 | $25760.56 | 1295702728 - HOLMES REGIONAL MEDICAL CENTER, INC. | 590624371 - (FL) HOLMES REGIONAL MEDICAL CENTER | FL | General Acute Care Hospital (282N00000X) |
United | 081 | $10309.29 | 1144856543 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | General Acute Care Hospital (282N00000X) |
United | 081 | $16859.44 | 1912282369 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 081 | $10177.62 | 1821030842 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 081 | $12114.12 | 1699541870 - STATE UNIVERSITY OF IOWA, UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 081 | $19183.57 | 1518988310 - SMDC MEDICAL CENTER, ESSENTIA HEALTH DULUTH (REHAB UNIT) | 411878730 - (MN) SMDC MEDICAL CENTER | MN | Rehabilitation Hospital Unit (273Y00000X) |
United | 081 | $18089.66 | 1679525919 - THE CLEVELAND CLINIC FOUNDATION | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | 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 081 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 081 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 081 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 |
|---|---|---|
| 080-APR-DRG | High | Autologous Bone Marrow Transplant |
| 080-MS-DRG | High | Non-traumatic Stupor and Coma with MCC |
| 081-MS-DRG | High | Non-traumatic Stupor and Coma without MCC |
| 082-APR-DRG | High | EYE INFECTIONS & OTHER EYE DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 081 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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