MS-DRG 084 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 084 by major payers:
$11,627.81
$12,833.94
$15,090.62
$15,473.91
| 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 084 | ||||||
United | 084 | $4120.00 | 1548640717 - SMYTH COUNTY COMMUNITY HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL REHABILITATION | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 084 | $21284.69 | 1558446617 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 084 | $39939.17 | 1801212410 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 084 | $11259.99 | 1710205844 - HENRY FORD WYANDOTTE HOSPITAL | 382791823 - (MI) HENRY FORD WYANDOTTE HOSPITAL CORPORATION | MI | General Acute Care Hospital (282N00000X) |
United | 084 | $19941.38 | 1497765630 - ST. CHARLES HOSPITAL CORP. | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | General Acute Care Hospital (282N00000X) |
United | 084 | $19317.07 | 1285601237 - HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 084 | $14719.79 | 1023187416 - BEAVER DAM COMMUNITY HOSPITALS INC, MARSHFIELD MEDICAL CENTER - BEAVER DAM | 391157876 - BEAVER DAM COMMUNITY HOSPITALS INC | WI | General Acute Care Hospital (282N00000X) |
United | 084 | $12742.90 | 1679718449 - ROBINSON MEMORIAL HOSPITAL | 461382538 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | General Acute Care Hospital (282N00000X) |
United | 084 | $11990.45 | 1851496152 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. CLARE HOSPITAL - FENTON | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 084 | $20995.96 | 1417202169 - ST VINCENT'S MEDICAL CENTER | 832550272 - (CT) SVMC HOLDINGS INC | CT | General Acute Care Hospital (282N00000X) |
United | 084 | $7011.00 | 1376512988 - INDIAN RIVER MEMORIAL HOSPITAL INC, CLEVELAND CLINIC INDIAN RIVER HOSPITAL | 592496294 - INDIAN RIVER MEMORIAL HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 084 | $28109.33 | 1104976703 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 084 | $14225.80 | 1952391658 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM - MCALLEN | 233069260 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 084 | $10995.92 | 1780720664 - WEST SUBURBAN HOSPITAL MEDICAL CENTER, WEST SUBURBAN MEDICAL CENTER | 611899386 | IL | General Acute Care Hospital (282N00000X) |
United | 084 | $21284.69 | 1558446617 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | 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 084 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 084 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 084 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 |
|---|---|---|
| 083-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 083-MS-DRG | High | Traumatic Stupor and Coma >1 Hour with CC |
| 084-MS-DRG | High | Traumatic Stupor and Coma >1 Hour without CC/MCC |
| 085-MS-DRG | High | Traumatic Stupor and Coma <1 Hour 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 084. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 084 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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