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MS-DRG 088 Fee Schedule

Last Verified: December 2025

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.

Concussion with MCC
Key FactDetail
Service Type

Diseases & Disorders of the Nervous System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 088 by major payers:

bcbs

$16,684.19

uhc

$17,791.14

aetna

$22,370.07

cigna

$22,628.28

Preview provider-level rates for...
For billing codeMS-DRG 088
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 088

United
088$21264.591124018585 - SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION, WILSON MEMORIAL BEHAVIORAL HEALTH UNIT344427944 - (OH) SHELBY COUNTY MEMORIAL HOSPITAL ASSOCIATION INCOHPsychiatric Hospital Unit (273R00000X)
United
088$16155.331205482023 - OCHSNER MORGAN CITY LLC, OCHSNER ST. MARY842237042LAGeneral Acute Care Hospital (282N00000X)
United
088$4719.391013941780 - COVENANT LONG-TERM CARE LLC, COVENANT SPECIALTY HOSPITAL205033419 - (TX) COVENANT LONGTERM CARE LLCTXLong Term Care Hospital (282E00000X)
United
088$25118.911265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL474131755AZGeneral Acute Care Hospital (282N00000X)
United
088$22534.511114972007 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL474063232TNGeneral Acute Care Hospital (282N00000X)
United
088$7098.641508051913 - THE MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES222807681 - (NY) MEMORIAL HOSPITAL OF WILLIAM F AND GERTRUDE F JONES INCNYGeneral Acute Care Hospital (282N00000X)
United
088$22534.511114972007 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL474063232TNGeneral Acute Care Hospital (282N00000X)
United
088$15806.001508845322 - HUNTINGTON HOSPITAL ASSOCIATION111630914 - (NY) HUNTINGTON HOSPITAL ASSOCIATIONNYGeneral Acute Care Hospital (282N00000X)
United
088$19768.141679667836 - MERCY HOSPITAL OKLAHOMA CITY, INC.730579285 - MERCY HOSPITAL OKLAHOMA CITY INCOKRehabilitation Hospital Unit (273Y00000X)
United
088$27545.331437523537 - NYU LANGONE HOSPITALS133971298 - NYU LANGONE HOSPITALSNYRehabilitation Hospital Unit (273Y00000X)
United
088$15275.591023335544 - ASCENSION ST JOHN HOSPITAL, ST JOHN HOSPITAL AND MEDICAL CENTER381359063 - ASCENSION ST JOHN HOSPITALMIRehabilitation Hospital Unit (273Y00000X)
United
088$23439.521659461895 - NEBRASKA METHODIST HOSPITAL, METHODIST HOSPITAL470376604 - NEBRASKA METHODIST HOSPITALNERehabilitation Hospital Unit (273Y00000X)
United
088$47972.261598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCONYGeneral Acute Care Hospital (282N00000X)
United
088$6167.121689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS621682198TXGeneral Acute Care Hospital (282N00000X)
United
088$6167.121689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS621682198TXGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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.

CodeComplexityDescription
087-APR-DRGModerateAutologous Bone Marrow Transplant
087-MS-DRGHighTraumatic Stupor and Coma <1 Hour without CC/MCC
088-MS-DRGHighConcussion with MCC
089-APR-DRGHighMAJOR 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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