MS-DRG 089 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 089 by major payers:
$12,654.13
$13,990.31
$16,977.52
$17,298.52
| 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 089 | ||||||
United | 089 | $5761.00 | 1689002651 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL KELLER | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 089 | $8436.00 | 1205018439 - LAKE POINTE OPERATING COMPANY, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER LAKE POINTE | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 089 | $37844.35 | 1952332801 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK-PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 089 | $52270.23 | 1972828564 - NEW YORK PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 089 | $10956.86 | 1144287756 - BONNER GENERAL HOSPITAL, INC., BONNER GENERAL HOSPITAL | 820207116 - (ID) BONNER GENERAL HOSPITAL INC | ID | General Acute Care Hospital (282N00000X) |
United | 089 | $8190.93 | 1295785285 - OAKWOOD HEALTHCARE, INC., COREWELL HEALTH WAYNE HOSPITAL | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 089 | $14070.24 | 1780763284 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Psychiatric Hospital Unit (273R00000X) |
United | 089 | $10433.88 | 1609275585 - CHCA PEARLAND, L.P., HCA HOUSTON HEALTHCARE PEARLAND | 50631189 | TX | General Acute Care Hospital (282N00000X) |
United | 089 | $17448.58 | 1144266024 - INDIANA UNIVERSITY HEALTH INC, INDIANA UNIVERSITY HEALTH | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 089 | $32779.46 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 089 | $15852.70 | 1700828852 - THE METROHEALTH SYSTEM, METROHEALTH MEDICAL CENTER | 346004382 | OH | General Acute Care Hospital (282N00000X) |
United | 089 | $13898.70 | 1598114928 - ORO VALLEY HOSPITAL | 522379881 | AZ | Critical Access Hospital (282NC0060X) |
United | 089 | $21769.42 | 1962723684 - PROVIDENCE SACRED HEART MEDICAL CENTER | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 089 | $18757.00 | 1003236878 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL INC, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET | 221487243 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 089 | $8557.00 | 1699748996 - ST MARYS HOSPITAL | 463499370 | NJ | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 089 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 089 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 089 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 |
|---|---|---|
| 088-MS-DRG | High | Concussion with MCC |
| 089-MS-DRG | High | Concussion with CC |
| 090-APR-DRG | High | Major Larynx & Trachea Procedures |
| 090-MS-DRG | High | Concussion without CC/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 089. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 089 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 089) and we'll show you how you compare in 15 minutes or less.