MS-DRG 087 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 087 by major payers:
$9,866.42
$11,530.19
$13,984.33
$14,329.03
| 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 087 | ||||||
United | 087 | $4039.87 | 1053992966 - DUBOIS REGIONAL MEDICAL CENTER | 251490707 - DUBOIS REGIONAL MEDICAL CENTER | PA | Psychiatric Hospital Unit (273R00000X) |
United | 087 | $4958.00 | 1114033628 - MOUNTAIN STATES HEALTH ALLIANCE, FRANKLIN WOODS COMMUNITY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | General Acute Care Hospital (282N00000X) |
United | 087 | $7671.83 | 1881008142 - MEADVILLE MEDICAL CENTER, MEADVILLE HOSPITALIST SERVICES | 251512436 - (PA) MEADVILLE MEDICAL CENTER | PA | Hospitalist Physician (208M00000X) |
United | 087 | $8159.24 | 1497830806 - DELTA HEALTH SYSTEM, DELTA HEALTH-THE MEDICAL CENTER | 640586958 - (MS) DELTA HEALTH SYSTEM | MS | Psychiatric Hospital Unit (273R00000X) |
United | 087 | $4158.00 | 1134448541 - SMYTH COUNTY COMMUNITY HOSPITAL, SOUTHWEST VIRGINIA INPATIENT REHABILITAION UNIT | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 087 | $3183.00 | 1467400036 - HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH, LANE REGIONAL MEDICAL CENTER | 726015227 | LA | Rehabilitation Hospital (283X00000X) |
United | 087 | $3183.00 | 1467400036 - HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH, LANE REGIONAL MEDICAL CENTER | 726015227 | LA | Rehabilitation Hospital (283X00000X) |
United | 087 | $15269.33 | 1538671946 - THE BARIATRIC CENTER OF KANSAS CITY LLC | 823025378 - (KS) THE BARIATRIC CENTER OF KANSAS CITY LLC | KS | Special Hospital (284300000X) |
United | 087 | $8451.00 | 1275305013 - TAMPA GENERAL HOSPITAL HERNANDO, LLC | 933085834 - (FL) HERNANDO HMA LLC | FL | General Acute Care Hospital (282N00000X) |
United | 087 | $9077.32 | 1255532875 - HUDSON HOSPITAL, INC. | 390804125 - HUDSON HOSPITAL INC | WI | Critical Access Hospital (282NC0060X) |
United | 087 | $15425.79 | 1700553856 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | Children's Hospital (282NC2000X) |
United | 087 | $6305.06 | 1629009964 - MERCY HEALTH YOUNGSTOWN LLC, MERCY HEALTH ST JOSEPH WARREN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | General Acute Care Hospital (282N00000X) |
United | 087 | $11426.70 | 1962600072 - KATHERINE SHAW BETHEA HOSPITAL | 361000540 - (IL) KATHERINE SHAW BETHEA HOSPITAL | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 087 | $6953.12 | 1831226273 - ADIRONDACK MEDICAL CENTER | 141731786 - (NY) ADIRONDACK MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 087 | $19763.34 | 1922139120 - INOVA HEALTH CARE SERVICES, INOVA MOUNT VERNON HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | 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 087 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 087 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 087 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 |
|---|---|---|
| 086-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 086-MS-DRG | High | Traumatic Stupor and Coma <1 Hour with CC |
| 087-MS-DRG | High | Traumatic Stupor and Coma <1 Hour without CC/MCC |
| 088-MS-DRG | High | Concussion 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 087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 087 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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