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See a sample rate comparisonMS-DRG 505 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.
FOOT PROCEDURES 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 505 by major payers:
$18,117.40
$22,497.82
$27,606.60
$28,478.81
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MS-DRG 505
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$45,362.58Published rateAdvocate Illinois Masonic Medical Center
Advocate North Side Health Network
$26,732.16Published rateFroedtert Health Neighborhood Hospital, LLC, Froedtert Community Hospital
$21,819.31Published rateHomer Memorial Hospital, Claiborne Memorial Medical Center
Homer Memorial Hospital
$14,947.33Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$2,586.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 505 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 505 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 505 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 |
|---|---|---|
| 504-APR-DRG | Moderate | Non-Bacterial Infections Of Nervous System Except Viral Meningitis |
| 504-MS-DRG | High | FOOT PROCEDURES WITH CC |
| 505-MS-DRG | High | FOOT PROCEDURES WITHOUT CC/MCC |
| 506-MS-DRG | High | MAJOR THUMB OR JOINT PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 505 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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