MS-DRG 102 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 102 by major payers:
$13,228.93
$15,389.49
$18,282.81
$18,702.29
| 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 102 | ||||||
United | 102 | $12835.66 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 102 | $16543.68 | 1669475950 - HENDRICKS COUNTY HOSPITAL | 351361243 - HENDRICKS COUNTY HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 102 | $10776.86 | 1881977593 - DLP PERSON MEMORIAL HOSPITAL LLC, PERSON MEMORIAL HOSPITAL | 452909143 | NC | General Acute Care Hospital (282N00000X) |
United | 102 | $20819.98 | 1699754390 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, THE UNIVERSITY OF KANSAS HOSPITAL | 481202402 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY | KS | Psychiatric Hospital Unit (273R00000X) |
United | 102 | $37333.57 | 1851568687 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 102 | $13858.33 | 1831450865 - ST JOSEPH HEALTH SERVICES OF RI, HOSPITALIST GROUP | 464661337 | RI | Hospitalist Physician (208M00000X) |
United | 102 | $9609.26 | 1235109778 - COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL SOUTH | 351088640 - COMMUNITY HOSPITALS OF INDIANA INC | IN | General Acute Care Hospital (282N00000X) |
United | 102 | $34794.71 | 1902047376 - FLOWER MOUND HOSPITAL PARTNERS, LLC, TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND | 260684968 - (TX) FLOWER MOUND HOSPITAL PARTNERS, LLC DBA TEXAS HEALTH PRESBYTERIAN HOSP | TX | General Acute Care Hospital (282N00000X) |
United | 102 | $21882.08 | 1457690471 - ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC., ASCENSION ST. VINCENT'S CLAY COUNTY | 461523194 - (FL) ACENSION ST VINCENT SOUTH SIDE | FL | General Acute Care Hospital (282N00000X) |
United | 102 | $13783.25 | 1588779920 - GREENE COUNTY HOSPITAL & NURSING HOME | 636005451 - (AL) GREENE COUNTY HOSPITAL NURSING HOME | AL | Rural Acute Care Hospital (282NR1301X) |
United | 102 | $11109.16 | 1760567168 - DELTA HEALTH SYSTEM, DELTA HEALTH-THE MEDICAL CENTER (IP REHAB) | 640586958 - (MS) DELTA HEALTH SYSTEM | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 102 | $10380.37 | 1396755393 - VALLEY MEDICAL FACILITIES, INC., HERITAGE VALLEY SEWICKLEY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Psychiatric Hospital Unit (273R00000X) |
United | 102 | $11248.00 | 1801826839 - BAYLOR SCOTT & WHITE MEDICAL CENTER | 824052186 - (TX) BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | TX | General Acute Care Hospital (282N00000X) |
United | 102 | $13858.33 | 1831450865 - ST JOSEPH HEALTH SERVICES OF RI, HOSPITALIST GROUP | 464661337 | RI | Hospitalist Physician (208M00000X) |
United | 102 | $10345.00 | 1447250253 - BAYLOR UNIVERSITY MEDICAL CENTER | 751837454 - (TX) BAYLOR UNIVERSITY MEDICAL CENTER | TX | 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 102 vs. Other Diseases & Disorders of the Nervous System Codes
The MS-DRG 102 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 102 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 |
|---|---|---|
| 101-APR-DRG | Moderate | Head Trauma With Deep Coma |
| 101-MS-DRG | High | Seizures without MCC |
| 102-MS-DRG | High | Headaches with MCC |
| 103-APR-DRG | Moderate | Head Trauma With Deep Coma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 102 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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