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See a sample rate comparisonMS-DRG 450 Fee Schedule
Last Verified: September 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.
SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
| 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
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MS-DRG 450
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
$174,330.89Published rateFairview Health Services, Fairview Diagnostic Laboratory
Fairview Health Services
$93,057.15Published rateHoly Redeemer Health System, Holy Redeemer Hospital & Medical Center
Holy Redeemer Health System
$66,420.84Published rateCedar Park Health System Lp, Cedar Park Regional Medical Center
Cedar Park Health System Lp
$29,919.00Published rateLancaster Regional Hospital, Lp, Crescent Medical Center Lancaster
Lancaster Regional Hospital, Lp
$3,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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