MS-DRG 146 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 Ear, Nose, Mouth & Throat |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 146 by major payers:
$25,213.86
$28,692.17
$35,743.26
$36,326.91
| 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 146 | ||||||
United | 146 | $33578.73 | 1548260839 - THEDACARE MEDICAL CENTER, SHAWANO MEDICAL CENTER, INC. | 390807068 - THEDACARE MEDICAL CENTER-SHAWANO INC | WI | Critical Access Hospital (282NC0060X) |
United | 146 | $40522.98 | 1538535158 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 146 | $17232.55 | 1780684423 - SELECT SPECIALTY HOSPITAL | 251813120 - (TN) SELECT SPECIALTY HOSPITAL | TN | Long Term Care Hospital (282E00000X) |
United | 146 | $60282.07 | 1013407865 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - ARVADA | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 146 | $33661.30 | 1518634864 - VHS SAN ANTONIO PARTNERS, LLC, MISSION TRAIL BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 146 | $20646.90 | 1962506568 - ANSON HOSPITAL DISTRICT | 811008596 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 146 | $51156.14 | 1033770284 - ADVENTHEALTH POLK SOUTH INC, ADVENTHEALTH LAKE WALES | 834672945 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 146 | $17533.81 | 1376061002 - POTTSTOWN HOSPITAL, LLC, POTTSTOWN HOSPITAL | 822132538 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 146 | $20896.16 | 1568453389 - ATTENTUS MOULTON, LLC, LAWRENCE MEDICAL CENTER | 721589022 | AL | General Acute Care Hospital (282N00000X) |
United | 146 | $3351.00 | 1225450588 - PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS, NEW ORLEANS EAST HOSPITAL | 273335876 | LA | General Acute Care Hospital (282N00000X) |
United | 146 | $29451.63 | 1225146400 - METHODIST HOSPITAL LEVELLAND, COVENANT HOSPITAL LEVELLAND | 752246348 - (TX) METHODIST HOSPITAL LEVELLAND | TX | General Acute Care Hospital (282N00000X) |
United | 146 | $32640.44 | 1558365890 - METHODIST HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 146 | $29893.86 | 1306867866 - CARLE BROMENN MEDICAL CENTER, ADVOCATE BROMENN MEDICAL CENTER | 850682363 - (IL) CARLE BROMENN MEDICAL CENTER | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 146 | $49857.48 | 1073535027 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, BELLEVUE HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 146 | $42888.19 | 1184911877 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE | 452663071 | 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 146 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes
The MS-DRG 146 code is part of the Diseases & Disorders of the Ear, Nose, Mouth & Throat 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 146 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 |
|---|---|---|
| 145-APR-DRG | High | ACUTE BRONCHITIS & RELATED SYMPTOMS |
| 145-MS-DRG | High | Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC |
| 146-MS-DRG | High | Ear, Nose, Mouth and Throat Malignancy with MCC |
| 147-MS-DRG | High | Ear, Nose, Mouth and Throat Malignancy with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 146 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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