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See a sample rate comparisonMS-DRG 500 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.
SOFT TISSUE PROCEDURES 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 500 by major payers:
$35,886.53
$41,186.79
$49,500.49
$50,893.77
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MS-DRG 500
5 of 25 sample ratesHigher to lower in this preview
Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital-Swing Bed Unit
$130,899.00Published rateAurora Health Care Southern Lakes, Inc., Aurora Medical Center Kenosha
Aurora Health Care Inc
$63,215.17Published rateCleveland Clinic Weston Hospital Nonprofit Corporation, Cleveland Clinic Hospital
Cleveland Clinic Weston Hospital No Nprofit Corporation
$49,574.30Published rateNewark Wayne Community Hospital
$39,608.75Published rateMadonna Rehabilitation Hospital, Madonna Rehabilitation Hospital Lincoln
Madonna Rehabilitation Hospital
$15,530.33Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 500 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 500 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 500 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 |
|---|---|---|
| 499-MS-DRG | High | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC |
| 500-MS-DRG | High | SOFT TISSUE PROCEDURES WITH MCC |
| 501-APR-DRG | High | MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
| 501-MS-DRG | High | SOFT TISSUE PROCEDURES WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 500 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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