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See a sample rate comparisonMS-DRG 094 Fee Schedule
Last Verified: October 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.
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
| 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 094 by major payers:
$41,305.36
$47,167.66
$57,122.84
$57,601.74
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MS-DRG 094
5 of 25 sample ratesHigher to lower in this preview
Westchester County Health Care Corporation, Mid-Hudson Valley Division Of Westchester Medical Center
Peo Mid-Hudson Valley Staffco
$124,077.68Published rateParkview Hospital, Inc., Parkview Regional Medical Center
$72,359.81Published rateOttumwa Regional Health Center Inc
$52,856.05Published rateCarondelet Health Network, St Mary'S Hospital
$39,041.83Published rateVaughan Regional Medical Center LLC, Vaughan Regional Medical Center
Vaughan Regional Medical Center LLC
$3,000.00Published rate
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See a sample payer proposalMS-DRG 094 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 094 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 094 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 |
|---|---|---|
| 093-APR-DRG | High | Extracorporeal Membrane Oxygenation (Ecmo) |
| 093-MS-DRG | High | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC |
| 094-MS-DRG | High | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC |
| 095-APR-DRG | High | CLEFT LIP & PALATE REPAIR |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 094. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 094 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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