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MS-DRG 089 Fee Schedule

Last Verified: March 2026

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 CC
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 089 by major payers:

bcbs

$12,654.13

uhc

$13,990.31

aetna

$16,977.52

cigna

$17,298.52

Preview provider-level rates for...
For billing codeMS-DRG 089
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 089

United
089$12882.741417106907 - OVERLOOK HOSPITAL521958352 - ATLANTIC HEALTH SYSTEM INCNJGeneral Acute Care Hospital (282N00000X)
United
089$15931.411619147824 - HEALTH & HOSPITAL CORPORATION OF MARION COUNTY, WISHARD HEALTH SERVICES356005697INGeneral Acute Care Hospital (282N00000X)
United
089$20462.471265988364 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CARDIOVASCULAR SVCS SIMP811723202 - PRISMA HEALTH - UPSTATESCGeneral Acute Care Hospital (282N00000X)
United
089$18251.421669764353 - DUKE UNIVERSITY HOSPITAL562070036 - DUKE UNIVERSITY HEALTH SYSTEM INCNCGeneral Acute Care Hospital (282N00000X)
United
089$8557.001699748996 - ST MARYS HOSPITAL463499370NJGeneral Acute Care Hospital (282N00000X)
United
089$19606.561891458303 - MERCY HEALTH, MERCY HEALTH - ST. CHARLES HOSPITAL344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLCOHGeneral Acute Care Hospital (282N00000X)
United
089$16821.251265460232 - NORTH BROWARD HOSPITAL DISTRICT, BROWARD HEALTH IMPERIAL POINT596012065 - NORTH BROWARD HOSPITAL DISTRICTFLGeneral Acute Care Hospital (282N00000X)
United
089$32723.611346314192 - SENTARA HOSPITALS, SENTARA NORFOLK GENERAL REHABILITATION UNIT541547408 - SENTARA HOSPITALSVARehabilitation Hospital Unit (273Y00000X)
United
089$8436.001205018439 - LAKE POINTE OPERATING COMPANY, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER LAKE POINTE260194016 - (TX) LAKE POINTE OPERATING COMPANY LLCTXGeneral Acute Care Hospital (282N00000X)
United
089$25292.381730494816 - VIERA HOSPITAL INC, VIERA HOSPITAL INC264019868 - (FL) VIERA HOSPITAL INCFLGeneral Acute Care Hospital (282N00000X)
United
089$15852.701700828852 - THE METROHEALTH SYSTEM, METROHEALTH MEDICAL CENTER346004382OHGeneral Acute Care Hospital (282N00000X)
United
089$15349.251316041577 - HAYWOOD REGIONAL MEDICAL CENTER, HRMC UCC PRO FEES300830918NCGeneral Acute Care Hospital (282N00000X)
United
089$21442.001770560294 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL AT WESLEY WOODS580566256 - (GA) EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
089$12085.081285621839 - MEMORIAL HOSPITAL OF LARAMIE COUNTY, CHEYENNE REGIONAL MEDICAL CENTER836000194 - MEMORIAL HOSPITAL OF LARAMIE COUNTYWYGeneral Acute Care Hospital (282N00000X)
United
089$26704.131679686992 - BOULDER COMMUNITY HEALTH, BOULDER COMMUNITY HOSPITAL840175870 - BOULDER COMMUNITY HEALTHCORehabilitation Hospital Unit (273Y00000X)
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 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.

CodeComplexityDescription
088-MS-DRGHighConcussion with MCC
089-MS-DRGHighConcussion with CC
090-APR-DRGHighMajor Larynx & Trachea Procedures
090-MS-DRGHighConcussion 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.

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