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See a sample rate comparisonMS-DRG 487 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.
KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/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 487 by major payers:
$19,334.70
$21,377.88
$24,994.16
$25,710.69
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MS-DRG 487
5 of 25 sample ratesHigher to lower in this preview
North Colorado Medical Center
$55,329.12Published rateH. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.
H Lee Moffitt Cancer Center And Research Institute Hospital Inc
$33,991.67Published rateUniversity Of Southern California, Usc Verdugo Hills Hospital
Usc Verdugo Hills Hospital
$22,295.59Published rateThe Bibb County Healthcare Authority, Bibb Medical Center
$16,651.34Published rateDubois Regional Medical Center, Penn Highlands Clearfield-A Campus Of Penn Highlands Dubois
Dubois Regional Medical Center
$7,221.50Published rate
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See a sample payer proposalMS-DRG 487 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 487 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 487 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 |
|---|---|---|
| 486-MS-DRG | High | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC |
| 487-MS-DRG | High | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC |
| 488-APR-DRG | Moderate | Peripheral, Cranial And Autonomic Nerve Disorders |
| 488-MS-DRG | High | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/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 487. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 487 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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