MS-DRG 501 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 501 by major payers:
$20,541.66
$23,926.97
$28,227.27
$28,966.49
| 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 501 | ||||||
United | 501 | $28189.33 | 1629006457 - REGIONS HOSPITAL | 410956618 - REGIONS HOSPITAL | MN | General Acute Care Hospital (282N00000X) |
United | 501 | $11240.01 | 1821044850 - SOLARA HOSPITAL CONROE LP | 472655000 | TX | Long Term Care Hospital (282E00000X) |
United | 501 | $56620.26 | 1568419976 - UNIVERSITY OF VERMONT MEDICAL CENTER INC | 30219309 - UNIVERSITY OF VERMONT MEDICAL CENTER INC | VT | General Acute Care Hospital (282N00000X) |
United | 501 | $22225.64 | 1043297401 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | Psychiatric Hospital Unit (273R00000X) |
United | 501 | $28869.90 | 1497859649 - NORTHWESTERN MEMORIAL HEALTHCARE | 370960170 - (IL) NORTHWESTERN MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 501 | $11339.98 | 1558608166 - THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, REGIONAL PSYCHIATRIC SERVICES | 636000090 - THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON | AL | Psychiatric Hospital Unit (273R00000X) |
United | 501 | $1500.00 | 1932646049 - SCOTT COUNTY COMMUNITY HOSPITAL, INC., BIG SOUTH FORK MEDICAL CENTER | 814896412 - (TN) SCOTT COUNTY COMMUNITY HOSPITAL INC | TN | Critical Access Hospital (282NC0060X) |
United | 501 | $5761.00 | 1043641749 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL COLLEYVILLE | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 501 | $30339.90 | 1356328199 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital (283X00000X) |
United | 501 | $5761.00 | 1043641749 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL COLLEYVILLE | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 501 | $33065.08 | 1558937474 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 501 | $22778.13 | 1922177229 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER | 362235165 - (IL) PRESENCE CHICAGO HOSPITALS NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 501 | $18994.78 | 1295705945 - ASCENSION ST JOHN HOSPITAL, ST JOHN HOSPITAL AND MEDICAL CENTER | 381359063 - ASCENSION ST JOHN HOSPITAL | MI | Psychiatric Hospital Unit (273R00000X) |
United | 501 | $23170.43 | 1891731998 - AHS HOSPITAL CORP., MORRISTOWN MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 501 | $15683.45 | 1518178268 - J C BLAIR MEMORIAL HOSPITAL, PENN HIGHLANDS HUNTINGDON | 231352159 - (PA) J C BLAIR MEMORIAL HOSPITAL | PA | Psychiatric Hospital Unit (273R00000X) |
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 501 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 501 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 501 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 |
|---|---|---|
| 500-APR-DRG | High | MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
| 500-MS-DRG | High | Soft Tissue Procedures with MCC |
| 501-MS-DRG | High | Soft Tissue Procedures with CC |
| 502-APR-DRG | Moderate | Non-Bacterial Infections Of Nervous System Except Viral Meningitis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 501 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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