MS-DRG 147 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 147 by major payers:
$15,290.45
$16,824.82
$19,637.71
$20,053.37
| 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 147 | ||||||
United | 147 | $34179.19 | 1093834608 - MADISON PARISH HOSPITAL SERVICE DISTRICT, MADISON PARISH HOSPITAL | 720985610 - (LA) MADISON PARISH HOSPITAL SERVICE DISTRICT | LA | Critical Access Hospital (282NC0060X) |
United | 147 | $11804.00 | 1609983790 - MONMOUTH MEDICAL CENTER INC | 223452412 | NJ | General Acute Care Hospital (282N00000X) |
United | 147 | $11943.67 | 1790888089 - HOSPITAL AUTHORITY OF CANDLER COUNTY, CANDLER COUNTY HOSPITAL | 586004640 | GA | Critical Access Hospital (282NC0060X) |
United | 147 | $16679.08 | 1073576740 - MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, VALLEYWISE HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 147 | $27393.51 | 1831663657 - INTEGRIS BAPTIST MEDICAL CENTER, INC | 731034824 - (OK) INTEGRIS BAPTIST MEDICAL CENTER INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 147 | $19279.46 | 1346607017 - CLEVELAND CLINIC AVON HOSPITAL | 474442902 - (OH) CLEVELAND CLINIC AVON HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 147 | $18764.00 | 1932200623 - HMH HOSPITALS CORPORATION | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 147 | $6649.00 | 1215998323 - UNIVERSITY HOSPITAL, UNIVERSITY OF MEDICINE AND DENTISTRY OF NJ | 221775306 | NJ | General Acute Care Hospital (282N00000X) |
United | 147 | $14183.25 | 1477196145 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 147 | $15058.34 | 1427069632 - EDWARD HOSPITAL | 363297173 - (IL) EDWARD HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 147 | $21461.11 | 1174977557 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | General Acute Care Hospital (282N00000X) |
United | 147 | $13786.04 | 1376548370 - COFFEY COUNTY HOSPITAL, COFFEY COUNTY HOSPITAL | 480860883 | KS | Critical Access Hospital (282NC0060X) |
United | 147 | $27429.82 | 1336172105 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 147 | $7718.00 | 1598144362 - PRIME HEALTHCARE SERVICES, SAINT CLARE'S HOSPITAL | 463483967 | NJ | General Acute Care Hospital (282N00000X) |
United | 147 | $6649.00 | 1215998323 - UNIVERSITY HOSPITAL, UNIVERSITY OF MEDICINE AND DENTISTRY OF NJ | 221775306 | NJ | 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 147 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes
The MS-DRG 147 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 147 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 |
|---|---|---|
| 146-MS-DRG | High | Ear, Nose, Mouth and Throat Malignancy with MCC |
| 147-MS-DRG | High | Ear, Nose, Mouth and Throat Malignancy with CC |
| 148-MS-DRG | High | Ear, Nose, Mouth and Throat Malignancy 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 147. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 147 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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