MS-DRG 508 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 508 by major payers:
$17,177.90
$18,216.46
$21,097.11
$21,655.71
| 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 508 | ||||||
United | 508 | $28923.77 | 1700910189 - DIGNITY COMMUNITY CARE, CHANDLER REGIONAL MEDICAL CENTER | 721561132 | AZ | General Acute Care Hospital (282N00000X) |
United | 508 | $7962.00 | 1275570376 - MONTGOMERY REGIONAL HOSPITAL INC, LEWISGALE HOSPITAL MONTGOMERY | 540889154 | VA | General Acute Care Hospital (282N00000X) |
United | 508 | $43686.80 | 1154775401 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MEDICAL CENTER - HARLINGEN | 452662980 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 508 | $21718.22 | 1164648945 - LINCOLN HOSPITAL | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 508 | $22797.16 | 1164507133 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 508 | $21754.34 | 1730508250 - PRIME HEALTHCARE SERVICES, ST. MARY'S HOSPITAL | 463499370 | NJ | General Acute Care Hospital (282N00000X) |
United | 508 | $5404.00 | 1285052845 - SHARON PENNSYLVANIA HOSPITAL COMPANY LLC, SRHS INPATIENT PSYCH BILLING | 332621724 | PA | Psychiatric Hospital Unit (273R00000X) |
United | 508 | $15459.20 | 1871918870 - PROSPECT CHARTERCARE SJHSRI, LLC, OUR LADY OF FATIMA HOSPITAL | 464661337 | RI | General Acute Care Hospital (282N00000X) |
United | 508 | $26567.00 | 1477508687 - AURORA HEALTH CARE NORTH, INC., AURORA MEDICAL CENTER MANITOWOC | 391211629 - (WI) AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 508 | $27556.34 | 1215903018 - COMMUNITY MEMORIAL HEALTH SYSTEM, COMMUNITY MEMORIAL HOSPITAL OF SAN BUENA VENTURA | 951683892 - COMMUNITY MEMORIAL HEALTH SYSTEM | CA | General Acute Care Hospital (282N00000X) |
United | 508 | $41761.73 | 1033120423 - TEXAS HEALTH HUGULEY, INC., TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | 452694620 - (TX) TEXAS HEALTH HUGULEY INC | TX | General Acute Care Hospital (282N00000X) |
United | 508 | $15601.45 | 1295710580 - GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION, MACNEAL HOSPITAL | 363332852 - (IL) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 508 | $21754.34 | 1730508250 - PRIME HEALTHCARE SERVICES, ST. MARY'S HOSPITAL | 463499370 | NJ | General Acute Care Hospital (282N00000X) |
United | 508 | $25812.00 | 1760787576 - WELLSPAN SURGERY AND REHABILITATION HOSPITAL, WELLSPAN SURGERY AND REHABILITATION HOSPITAL | 232899911 - (PA) WELLSPAN SURGERY AND REHABILITATION HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 508 | $10339.53 | 1144286352 - COMMUNITY MERCY HEALTH PARTNERS, MERCY HEALTH - URBANA HOSPITAL | 310785684 - COMMUNITY MERCY HEALTH PARTNERS | OH | Critical Access Hospital (282NC0060X) |
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 508 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 508 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 508 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 |
|---|---|---|
| 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 |
| 509-MS-DRG | High | Arthroscopy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 508. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 508 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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