MS-DRG 450 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 450 by major payers:
$47,756.04
$72,751.56
$75,103.17
$82,882.25
| 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 450 | ||||||
United | 450 | $4158.00 | 1033214440 - JOHNSTON MEMORIAL HOSPITAL, JOHNSTON MEMORIAL HOSPITAL ER PHYSICIANS | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 450 | $103002.00 | 1346247574 - WAYNESBORO HOSPITAL, WELLSPAN WAYNESBORO HOSPITAL | 231360854 - (PA) WAYNESBORO HOSPITAL | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 450 | $53200.53 | 1295253920 - CHESTNUT HILL HOSPITAL, LLC, CHESTNUT HILL HOSPITAL | 883577015 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 450 | $111504.82 | 1538693825 - UPMC CARLISLE | 820880337 - (PA) UPMC CARLISLE | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 450 | $11595.00 | 1386897148 - JERSEY CITY MEDICAL CENTER, LIBERTY HOSPITALIST SERVICES | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | Hospitalist Physician (208M00000X) |
United | 450 | $3000.00 | 1851632616 - LANCASTER REGIONAL HOSPITAL, LP, CRESCENT MEDICAL CENTER LANCASTER | 273815440 - (TX) LANCASTER REGIONAL HOSPITAL, LP | TX | General Acute Care Hospital (282N00000X) |
United | 450 | $86367.17 | 1710097936 - OCHSNER MEDICAL CENTER | 205432782 | LA | General Acute Care Hospital (282N00000X) |
United | 450 | $93057.15 | 1932260833 - FAIRVIEW HEALTH SERVICES, FAIRVIEW DIAGNOSTIC LABORATORY | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 450 | $66420.84 | 1750371522 - HOLY REDEEMER HEALTH SYSTEM, HOLY REDEEMER HOSPITAL & MEDICAL CENTER | 231534300 - HOLY REDEEMER HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 450 | $174330.89 | 1457994188 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MICRO-HOSPITAL WESLACO | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 450 | $74645.54 | 1295843753 - VALLEY BAPTIST MEDICAL CENTER | 452663071 | TX | General Acute Care Hospital (282N00000X) |
United | 450 | $29919.00 | 1376662296 - CEDAR PARK HEALTH SYSTEM LP, CEDAR PARK REGIONAL MEDICAL CENTER | 203904667 - (TX) CEDAR PARK HEALTH SYSTEM LP | TX | General Acute Care Hospital (282N00000X) |
United | 450 | $149528.00 | 1609947282 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 450 | $46402.39 | 1225083074 - OLEAN GENERAL HOSPITAL | 160743102 - OLEAN GENERAL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 450 | $149728.85 | 1437119310 - SENTARA HOSPITALS, SENTARA NORFOLK GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | 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 450 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 450 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 450 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 |
|---|---|---|
| 448-MS-DRG | High | Multiple Level Spinal Fusion except Cervical without MCC |
| 450-MS-DRG | High | Single Level Spinal Fusion except Cervical with MCC or Custom-made Anatomically Designed Interbody Fusion Device |
| 451-APR-DRG | Moderate | Cva And Precerebral Occlusion With Infarction |
| 451-MS-DRG | High | Single 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 450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 450 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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