MS-DRG 500 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 500 by major payers:
$35,886.53
$41,186.79
$49,500.49
$50,893.77
| 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 500 | ||||||
United | 500 | $42530.28 | 1124193750 - FRANCISCAN HEALTH MICHIGAN CITY, FRANCISCAN ST. ANTHONY HEALTH-MICHIGAN CITY | 350876394 - (IN) FRANCISCAN HEALTH MICHIGAN CITY | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 500 | $26699.89 | 1356860621 - CHI MEMORIAL HOSPITAL | 822748395 - CHI MEMORIAL HOSPITAL - GEORGIA | GA | General Acute Care Hospital (282N00000X) |
United | 500 | $77962.28 | 1437119310 - SENTARA HOSPITALS, SENTARA NORFOLK GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 500 | $49574.30 | 1083644033 - CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION, CLEVELAND CLINIC HOSPITAL | 650844880 - (FL) CLEVELAND CLINIC WESTON HOSPITAL NO NPROFIT CORPORATION | FL | General Acute Care Hospital (282N00000X) |
United | 500 | $62721.67 | 1306871223 - SOUTHCOAST HOSPITALS GROUP, INC, CHARLTON MEMORIAL HOSPITAL | 222592333 - SOUTHCOAST HOSPITALS GROUP INC | MA | General Acute Care Hospital (282N00000X) |
United | 500 | $41715.94 | 1275660342 - J. ARTHUR DOSHER MEMORIAL HOSPITAL | 560845824 - (NC) J ARTHUR DOSHER MEMORIAL HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 500 | $15530.33 | 1558458091 - MADONNA REHABILITATION HOSPITAL, MADONNA REHABILITATION HOSPITAL LINCOLN | 470439599 - (NE) MADONNA REHABILITATION HOSPITAL | NE | Rehabilitation Hospital (283X00000X) |
United | 500 | $37210.03 | 1083013478 - NATCHEZ HOSPITAL COMPANY LLC, MERIT HEALTH NATCHEZ | 371756496 | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 500 | $30356.15 | 1427086313 - BAXTER COUNTY REGIONAL HOSPITAL, INC, BAXTER REGIONAL MEDICAL CENTER | 710561765 - BAXTER COUNTY REGIONAL HOSPITAL INC | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 500 | $66621.56 | 1558305995 - ST. FRANCIS HOSPITAL, INC., ST. FRANCIS DOWNTOWN | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 500 | $65096.21 | 1215969787 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 500 | $84791.07 | 1255355020 - GADSDEN REGIONAL MEDICAL CENTER LLC, GADSDEN REGIONAL MEDICAL CENTER | 631102774 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 500 | $34250.48 | 1942396163 - INDIANA REGIONAL MEDICAL CENTER | 250965404 - (PA) INDIANA REGIONAL MEDICAL CENTER | PA | Rural Acute Care Hospital (282NR1301X) |
United | 500 | $39672.12 | 1407364847 - TYLER REGIONAL HOSPITAL LLC | 823878395 | TX | General Acute Care Hospital (282N00000X) |
United | 500 | $44087.51 | 1659537280 - BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. | 630997281 - BAPTIST MEMORIAL HOSPITAL UNION COUNTY INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 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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