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See a sample rate comparisonMS-DRG 507 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 SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 507 by major payers:
$23,347.68
$25,849.34
$30,909.57
$31,873.14
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MS-DRG 507
5 of 25 sample ratesHigher to lower in this preview
Gadsden Regional Medical Center LLC, Gadsden Regional Medical Center
$56,404.78Published rateAlegent Health Immanuel Medical Center, Chi Health Immanuel Rehabilitation Institute
Alegent Health-Immanuel Medical Center
$40,220.92Published rateAvera Mckennan Hospital And Health System
Avera Mckennan
$31,980.30Published rateThibodaux Regional Health System Inc
$20,362.73Published rateThe Shriners' Hospital For Children
Shriners Hospitals For Children
$3,665.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 507 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 507 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 507 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 |
|---|---|---|
| 506-MS-DRG | High | MAJOR THUMB OR JOINT PROCEDURES |
| 507-MS-DRG | High | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC |
| 508-MS-DRG | High | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT 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 507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 507 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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