MS-DRG 447 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 Musculoskeletal System & Connective Tissue |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 447 by major payers:
$63,666.64
$93,580.77
$94,289.34
$105,784.46
| 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 447 | ||||||
United | 447 | $140845.62 | 1669424354 - SILVERTON HEALTH, LEGACY SILVERTON MEDICAL CENTER | 930281321 - (OR) SILVERTON HEALTH | OR | General Acute Care Hospital (282N00000X) |
United | 447 | $44351.58 | 1548254931 - MARY RUTAN HOSPITAL | 341407259 - MARY RUTAN HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 447 | $143279.43 | 1124194063 - THE FAUQUIER HOSPITAL INC, BLACKWELL ROAD LOCATION | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 447 | $6034.00 | 1336328244 - PRIME HEALTHCARE CENTINELA, LLC, CENTINELA HOSPITAL MEDICAL CENTER | 261150758 - (CA) PRIME HEALTHCARE CENTINELA LLC | CA | General Acute Care Hospital (282N00000X) |
United | 447 | $129394.00 | 1427030774 - SOUTHEASTERN REGIONAL MEDICAL CENTER, UNC HEALTH SOUTHEASTERN | 560530233 - SOUTHEASTERN REGIONAL MEDICAL CENTER | NC | General Acute Care Hospital (282N00000X) |
United | 447 | $112873.61 | 1730195017 - AMERICAN ONCOLOGIC HOSPITAL | 231352156 - (PA) THE AMERICAN ONCOLOGIC HOSPITAL | PA | Special Hospital (284300000X) |
United | 447 | $14296.00 | 1942432471 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | 221487243 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 447 | $131257.90 | 1639320484 - PROVIDENCE HEALTH & SERVICES, PROV SCRED HRT MED CTR & CHLDS HOS | 364640211 | WA | Psychiatric Hospital Unit (273R00000X) |
United | 447 | $105987.89 | 1497119218 - THEDACARE REGIONAL MEDICAL CENTER, APPLETON MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 447 | $143279.43 | 1124194063 - THE FAUQUIER HOSPITAL INC, BLACKWELL ROAD LOCATION | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 447 | $79122.15 | 1053481861 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Psychiatric Hospital Unit (273R00000X) |
United | 447 | $112310.42 | 1730494816 - VIERA HOSPITAL INC, VIERA HOSPITAL INC | 264019868 - (FL) VIERA HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 447 | $99100.00 | 1710272893 - EISENHOWER MEDICAL CENTER, EISENHOWER | 956130458 - EISENHOWER MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 447 | $116876.32 | 1003832098 - NASSAU HEALTH CARE CORPORATION, NUMC -DEPARTMENT OF PM&R, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 447 | $158160.79 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
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 447 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 447 code is part of the Diseases & Disorders of the Musculoskeletal System & Connective Tissue 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 447 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 |
|---|---|---|
| 447-MS-DRG | High | Multiple Level Spinal Fusion except Cervical with MCC or Custom-made Anatomically Designed Interbody Fusion Device |
| 448-MS-DRG | High | Multiple Level Spinal Fusion except Cervical 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 447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 447 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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