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 | $5567.52 | 1659371268 - SELECT SPECIALTY HOSPITAL | 251813118 - (OK) SELECT SPECIALTY HOSPITAL | OK | Long Term Care Hospital (282E00000X) |
United | 084 | $25353.85 | 1124341672 - BANNER IRONWOOD MEDICAL CENTER | 900412842 | AZ | General Acute Care Hospital (282N00000X) |
United | 084 | $12190.28 | 1518197011 - UNITED SURGEONS, LLC, UNITY PHYSICIANS HOSPITAL | 352194353 - (IN) UNITED SURGEONS, LLC | IN | General Acute Care Hospital (282N00000X) |
United | 084 | $11282.94 | 1407076631 - ST. MARY'S HEALTH CENTER | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Critical Access Hospital (282NC0060X) |
United | 084 | $20863.39 | 1407928500 - THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA, WELLSPAN GOOD SAMARITAN HOSPITAL ACUTE CARE HOSPITAL | 230794160 - (PA) THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA | PA | General Acute Care Hospital (282N00000X) |
United | 084 | $10945.42 | 1144384876 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL - ZALE LIPSHY | 753175630 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 084 | $9135.54 | 1538208210 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 084 | $16253.70 | 1609895663 - PRISMA HEALTH TUOMEY, PRISMA HEALTH TUOMEY ACUTE REHABILITATION | 474914917 - (SC) PRISMA HEALTH TUOMEY | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 084 | $19610.34 | 1558446617 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 084 | $15431.65 | 1144471715 - PROVIDENCE HEALTH & SERVICES, PROV SCRED HRT MED CTR & CHLDS HOS | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 084 | $1688.00 | 1598875460 - NORTH MISSISSIPPI MEDICAL CENTER, INC., NORTH MISSISSIPPI MEDICAL CENTER | 640662976 - NORTH MISSISSIPPI MEDICAL CENTER INC | MS | General Acute Care Hospital (282N00000X) |
United | 084 | $11052.00 | 1710348214 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO NORTH CAMPUS | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
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 | $16253.70 | 1679632137 - EHCA JOHNS CREEK, LLC, EMORY JOHNS CREEK HOSPITAL | 582433436 | GA | General Acute Care Hospital (282N00000X) |
United | 084 | $15468.74 | 1306857974 - CATHOLIC HEALTH INITIATIVES COLORADO, ST. MARY-CORWIN HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | 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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