MS-DRG 156 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 156 by major payers:
$7,947.17
$9,525.81
$10,772.22
$11,105.95
| 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 156 | ||||||
United | 156 | $15582.87 | 1659330173 - MERCY MEDICAL CENTER | 111635088 - (NY) MERCY MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 156 | $15931.16 | 1124194063 - THE FAUQUIER HOSPITAL INC, BLACKWELL ROAD LOCATION | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 156 | $14968.96 | 1700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 156 | $13211.34 | 1114954682 - ALICE HYDE MEDICAL CENTER | 150346515 - (NY) ALICE HYDE MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 156 | $7902.04 | 1528181393 - MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION | 610620567 | KY | General Acute Care Hospital (282N00000X) |
United | 156 | $16195.42 | 1265484489 - HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS, THE KINGSTON HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | General Acute Care Hospital (282N00000X) |
United | 156 | $7902.04 | 1528181393 - MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION | 610620567 | KY | General Acute Care Hospital (282N00000X) |
United | 156 | $6350.14 | 1497708473 - NASON MEDICAL CENTER LLC, NASON HOSPITAL | 472546387 | PA | General Acute Care Hospital (282N00000X) |
United | 156 | $6865.39 | 1801975107 - EAST TEXAS MEDICAL CENTER CARTHAGE, ETMC CARTHAGE | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 156 | $14968.96 | 1700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 156 | $7282.75 | 1407800436 - OH MUHLENBERG, LLC, OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL | 473944197 - (KY) OH MUHLENBERG LLC | KY | General Acute Care Hospital (282N00000X) |
United | 156 | $10605.90 | 1992018782 - STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC., ST. ELIZABETH'S MEDICAL CENTER PSYCHIATRIC UNIT | 272473667 | MA | Psychiatric Hospital Unit (273R00000X) |
United | 156 | $10712.00 | 1093755340 - ENDEAVOR HEALTH CLINICAL OPERATIONS, EVANSTON HOSPITAL - PSYCH UNIT | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 156 | $16036.74 | 1629432869 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH OP SURGERY SPARTANBURG | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 156 | $12429.08 | 1154361475 - SJ MEDICAL CENTER, LLC, ST. JOSEPH MEDICAL CENTER | 204835578 - (TX) SJ MEDICAL CENTER, LLC | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 156 vs. Other Diseases & Disorders of the Ear, Nose, Mouth & Throat Codes
The MS-DRG 156 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 156 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 |
|---|---|---|
| 155-MS-DRG | High | Other Ear, Nose, Mouth and Throat Diagnoses with CC |
| 156-MS-DRG | High | Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC |
| 157-MS-DRG | High | Dental and Oral Diseases with 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 156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 156 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 156) and we'll show you how you compare in 15 minutes or less.