MS-DRG 088 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 088 by major payers:

$16,684.19

$17,791.14

$22,370.07

$22,628.28
| 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 088 | ||||||
United | 088 | $21264.59 | 1124018585 - SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION, WILSON MEMORIAL BEHAVIORAL HEALTH UNIT | 344427944 - (OH) SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INC | OH | Psychiatric Hospital Unit (273R00000X) |
United | 088 | $16155.33 | 1205482023 - OCHSNER MORGAN CITY LLC, OCHSNER ST. MARY | 842237042 | LA | General Acute Care Hospital (282N00000X) |
United | 088 | $4719.39 | 1013941780 - COVENANT LONG-TERM CARE LLC, COVENANT SPECIALTY HOSPITAL | 205033419 - (TX) COVENANT LONGTERM CARE LLC | TX | Long Term Care Hospital (282E00000X) |
United | 088 | $25118.91 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 088 | $22534.51 | 1114972007 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 088 | $7098.64 | 1508051913 - THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES | 222807681 - (NY) MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INC | NY | General Acute Care Hospital (282N00000X) |
United | 088 | $22534.51 | 1114972007 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 088 | $15806.00 | 1508845322 - HUNTINGTON HOSPITAL ASSOCIATION | 111630914 - (NY) HUNTINGTON HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 088 | $19768.14 | 1679667836 - MERCY HOSPITAL OKLAHOMA CITY, INC. | 730579285 - MERCY HOSPITAL OKLAHOMA CITY INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 088 | $27545.33 | 1437523537 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 088 | $15275.59 | 1023335544 - ASCENSION ST JOHN HOSPITAL, ST JOHN HOSPITAL AND MEDICAL CENTER | 381359063 - ASCENSION ST JOHN HOSPITAL | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 088 | $23439.52 | 1659461895 - NEBRASKA METHODIST HOSPITAL, METHODIST HOSPITAL | 470376604 - NEBRASKA METHODIST HOSPITAL | NE | Rehabilitation Hospital Unit (273Y00000X) |
United | 088 | $47972.26 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 088 | $6167.12 | 1689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS | 621682198 | TX | General Acute Care Hospital (282N00000X) |
United | 088 | $6167.12 | 1689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS | 621682198 | TX | 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 088 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 088 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 088 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 |
|---|---|---|
| 087-APR-DRG | Moderate | Autologous Bone Marrow Transplant |
| 087-MS-DRG | High | Traumatic Stupor and Coma <1 Hour without CC/MCC |
| 088-MS-DRG | High | Concussion with MCC |
| 089-APR-DRG | High | MAJOR CRANIAL/FACIAL BONE PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 088 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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