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See a sample rate comparisonMS-DRG 150 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.
EPISTAXIS WITH MCC
| 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 150 by major payers:
$15,085.20
$19,665.14
$21,682.13
$22,129.62
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MS-DRG 150
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Medical Center, Inc, St. Mary'S Medical Center
$38,925.51Published rateCarondelet Health Network, St Mary'S Hospital
$23,417.75Published rateWakemed, Wakemed Cary Hospital
Wakemed
$17,298.82Published rateSsm Regional Health Services, St, Mary'S Health Center Bhm
$15,967.16Published rateHighlands Hospital, Penn Highlands Connellsville
Highlands Hospital And Health Center
$2,533.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 150 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes
The MS-DRG 150 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 150 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 |
|---|---|---|
| 149-MS-DRG | High | DYSEQUILIBRIUM |
| 150-MS-DRG | High | EPISTAXIS WITH MCC |
| 151-MS-DRG | High | EPISTAXIS WITHOUT 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 150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 150 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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