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See a sample rate comparisonMS-DRG 471 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.
CERVICAL SPINAL FUSION WITH MCC
| 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 471 by major payers:
$55,422.69
$58,734.26
$68,182.14
$76,118.06
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MS-DRG 471
5 of 25 sample ratesHigher to lower in this preview
Long Island Jewish Medical Center, Cohens Childrens Hospital
Long Island Jewish Medical Center
$168,560.00Published rateCookeville Regional Medical Center, Cookeville Regional Medical Center Inpatient Rehabilitation Center
$61,667.98Published rateThe Dch Healthcare Authority, Northport Medical Center
The Dch Health Care Authority
$38,010.03Published rateCovenant Hospital Hobbs, Covenant Health Hobbs Hospital
Covenant Hospital Hobbs
$21,089.00Published rateWyoming County, Wyoming County Community Hospital Psych
$2,771.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 471 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 471 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 471 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 |
|---|---|---|
| 470-APR-DRG | High | CHRONIC KIDNEY DISEASE |
| 470-MS-DRG | High | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC |
| 471-MS-DRG | High | CERVICAL SPINAL FUSION WITH MCC |
| 472-APR-DRG | Moderate | Transient Ischemia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 471 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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