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See a sample rate comparisonMS-DRG 147 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.
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
| 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
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MS-DRG 147
5 of 25 sample ratesHigher to lower in this preview
New York Society For The Relief Of Ruptured & Crippled Maintaining, Hospital For Special Surgery
New York Society For The Relief Of Ruptured & Crippled Maintaining
$43,814.46Published rateBbh Cbmc, LLC, Citizens Baptist Medical Center
$21,461.11Published rateMaricopa County Special Health Care District, Valleywise Health
$16,679.08Published rateHospital Authority Of Candler County, Candler County Hospital
$11,943.67Published rateHospital Service District No. 1 Of Iberia Parish, Iberia Medical Center
$3,693.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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