MS-DRG 148 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 148 by major payers:
$10,373.26
$11,015.35
$12,806.90
$13,120.09
| 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 148 | ||||||
United | 148 | $5326.00 | 1871859306 - HUDSON HOSPITAL OPCO LLC, CHRIST HOSPITAL | 383870608 - (NJ) HUDSON HOSPITAL OPCO, LLC DBA CHRIST HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 148 | $11012.03 | 1508683590 - OSF HEALTHCARE SYSTEM | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 148 | $11964.59 | 1730530940 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF FAMILY MEDICINE, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 148 | $1800.00 | 1164566998 - NACOGDOCHES COUNTY HOSPITAL DISTRICT, NACOGDOCHES MEMORIAL HOSPITAL ER MD CIDC | 871142127 - (TX) LION STAR NACOGDOCHES HOSPITAL, LLC DBA NACOGDOCHES MEMORIAL HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 148 | $16125.29 | 1538296207 - NATHAN LITTAUER HOSPITAL & NURSING HOME | 141338465 - (NY) NATHAN LITTAUER HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 148 | $8529.86 | 1467574202 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS COUSHATTA HEALTH CARE CENTER | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Critical Access Hospital (282NC0060X) |
United | 148 | $10370.66 | 1508979683 - INDIANA ORTHOPAEDIC HOSPITAL, LLC, ORTHOINDY HOSPITAL | 470933538 - (IN) INDIANA ORTHOPAEDIC HOSPITAL LLC | IN | Special Hospital (284300000X) |
United | 148 | $17844.11 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 148 | $12290.16 | 1073543120 - ST. LUKE'S HOSPITAL | 844475996 - (PA) ST LUKES HOSPITAL-EASTON CAMPUS | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 148 | $10110.54 | 1114958576 - BLADEN URGENT CARE, SURGICAL SPECIALIST FOR BLADEN COUNTY | 800164702 | NC | Critical Access Hospital Clinic/Center (261QC0050X) |
United | 148 | $12370.00 | 1932296696 - CROZER-CHESTER MEDICAL CENTER, CROZERTAYLORSPRINGFIELD | 811507712 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 148 | $9896.65 | 1114021292 - HURLEY MEDICAL CENTER | 386005601 | MI | Psychiatric Hospital Unit (273R00000X) |
United | 148 | $39038.12 | 1790969269 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK-PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 148 | $8458.58 | 1417984360 - MISSISSIPPI BAPTIST MEDICAL CENTER, INC., MS BAPITST MEDICAL CENTER GERI-PSYCH UNIT | 640881013 - (MS) MISSISSIPPI BAPTIST MEDICAL CENTER | MS | Psychiatric Hospital Unit (273R00000X) |
United | 148 | $11995.29 | 1295843787 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN NORTHEAST | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | 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 148 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes
The MS-DRG 148 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 148 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 |
|---|---|---|
| 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 |
| 149-MS-DRG | High | Dysequilibrium |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 148. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 148 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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