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See a sample rate comparisonMS-DRG 506 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.
MAJOR THUMB OR JOINT PROCEDURES
| 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 506 by major payers:
$17,357.44
$20,199.93
$23,881.53
$24,576.69
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MS-DRG 506
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$44,238.10Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Northeast Campus
Hcn Ep Horizon City LLC
$27,371.09Published rateMethodist Healthcare, Methodist Behavioral Health
Methodist Healthcare-Memphis
$21,393.66Published rateForrest County General Hospital, Jefferson Davis General Hospital
Forrest County General Hospital
$12,358.23Published rateDuke University Health System Inc, Duke Health Raleigh Hospital
Duke University Health System Inc
$4,763.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 506 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 506 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 506 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 |
|---|---|---|
| 505-MS-DRG | High | FOOT PROCEDURES WITHOUT CC/MCC |
| 506-MS-DRG | High | MAJOR THUMB OR JOINT PROCEDURES |
| 507-MS-DRG | High | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 506. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 506 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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