MS-DRG 100 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 100 by major payers:
$20,798.96
$24,358.09
$31,010.79
$31,558.65
| 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 100 | ||||||
United | 100 | $29201.11 | 1508941097 - ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM, CHI HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER-BERGAN MERCY | 470484764 - ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | NE | General Acute Care Hospital (282N00000X) |
United | 100 | $19589.08 | 1225088966 - OAKWOOD HEALTHCARE, INC., COREWELL HEALTH TAYLOR HOSPITAL REHABILITATION | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 100 | $23093.00 | 1043526023 - WARREN OHIO HOSPITAL COMPANY LLC, TRUMBULL MEMORIAL HOSPITAL | 815457243 | OH | General Acute Care Hospital (282N00000X) |
United | 100 | $25772.50 | 1306832654 - ST. ALEXIUS MEDICAL CENTER, CHI ST. ALEXIUS HEALTH | 450226711 - ST ALEXIUS MEDICAL CENTER | ND | General Acute Care Hospital (282N00000X) |
United | 100 | $24621.68 | 1336252717 - INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION, INTEGRIS JIM THORPE INPATIENT REHABILITATION | 731089149 - (OK) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 100 | $60242.23 | 1841843455 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE EMERGENCY ROOM MONTWOOD | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 100 | $24685.22 | 1962504175 - ST MARY MEDICAL CENTER INC, ST MARY WOUND CLINIC | 352007327 - (IN) ST MARY MEDICAL CENTER INC | IN | General Acute Care Hospital (282N00000X) |
United | 100 | $45667.85 | 1104267848 - ALAMEDA HEALTH SYSTEM | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 100 | $36702.23 | 1801937008 - OHIOHEALTH CORPORATION, DUBLIN METHODIST HOSPITAL | 314394942 - OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN MET | OH | General Acute Care Hospital (282N00000X) |
United | 100 | $27335.83 | 1477579464 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF RADIOLOGY, FFP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 100 | $12595.67 | 1639185457 - SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC, ALLEN COUNTY REGIONAL HOSPITAL | 843362602 - SAINT LUKES HOSPITAL OF ALLEN COUNTY INC | KS | Critical Access Hospital (282NC0060X) |
United | 100 | $38322.25 | 1295848562 - THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION | 581588823 - THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | NC | Psychiatric Hospital Unit (273R00000X) |
United | 100 | $43676.60 | 1629297478 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | GA | Psychiatric Hospital Unit (273R00000X) |
United | 100 | $25713.60 | 1508979683 - INDIANA ORTHOPAEDIC HOSPITAL, LLC, ORTHOINDY HOSPITAL | 470933538 - (IN) INDIANA ORTHOPAEDIC HOSPITAL LLC | IN | Special Hospital (284300000X) |
United | 100 | $21699.61 | 1558531293 - HEALTH & HOSPITAL CORPORATION OF MARION COUNTY, WISHARD HEALTH SERVICES | 356005697 | IN | 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 100 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 100 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 100 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 |
|---|---|---|
| 099-MS-DRG | High | Non-bacterial Infection of Nervous System except Viral Meningitis without CC/MCC |
| 100-MS-DRG | High | Seizures with MCC |
| 101-APR-DRG | Moderate | Head Trauma With Deep Coma |
| 101-MS-DRG | High | Seizures without 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 100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 100 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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