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See a sample rate comparisonMS-DRG 517 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.
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. 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 517 by major payers:
$18,004.34
$20,510.14
$24,988.79
$24,301.73
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MS-DRG 517
5 of 25 sample ratesHigher to lower in this preview
Bon Secours Memorial Regional Medical Center LLC, Memorial Regional Medical Center
Bon Secours Memorial Regional Medical Center LLC
$49,310.30Published rateMemorial Hermann Health System, Memorial Hermann Hospital
Memorial Hermann Health System
$31,244.35Published rateLakeview Medical Center, LLC, Lakeview Regional Medical Center
$26,148.44Published rateHaywood County Community Hospital Inc
$17,981.06Published rateGeneva County Healthcare Authority, Inc., Lifetime Health Services
Geneva County Health Care Authority Inc Dba Wiregrass Medical Center
$2,122.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 517 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 517 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 517 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 |
|---|---|---|
| 516-MS-DRG | High | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC |
| 517-MS-DRG | High | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC |
| 518-APR-DRG | High | OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
| 518-MS-DRG | High | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 517. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 517 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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