MS-DRG 541 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 541 by major payers:
$11,340.89
$18,022.32
$13,892.97
$14,253.39
| 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 541 | ||||||
United | 541 | $13472.45 | 1265063010 - HONORHEALTH, HONORHEALTH SONORAN CROSSING MEDICAL CENTER | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 541 | $15050.90 | 1639320484 - PROVIDENCE HEALTH & SERVICES, PROV SCRED HRT MED CTR & CHLDS HOS | 364640211 | WA | Psychiatric Hospital Unit (273R00000X) |
United | 541 | $11642.58 | 1255565909 - MARY IMOGENE BASSETT HOSPITAL | 135596796 - MARY IMOGENE BASSETT HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 541 | $6767.58 | 1417432840 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 541 | $18454.26 | 1235162645 - NORCAL HEALTHCONNECT LLC, PETALUMA VALLEY HOSPITAL | 852390012 | CA | General Acute Care Hospital (282N00000X) |
United | 541 | $10878.50 | 1962504175 - ST MARY MEDICAL CENTER INC, ST MARY WOUND CLINIC | 352007327 - (IN) ST MARY MEDICAL CENTER INC | IN | General Acute Care Hospital (282N00000X) |
United | 541 | $9882.00 | 1346499910 - VIRGINIA HOSPITAL CENTER ARLINGTON | 540505989 - (VA) VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 541 | $7597.62 | 1851601850 - GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 541 | $7824.99 | 1477537363 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | General Acute Care Hospital (282N00000X) |
United | 541 | $15231.51 | 1730288663 - SSM HEALTH CARE OF OKLAHOMA, INC., SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 541 | $16041.79 | 1023194271 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Psychiatric Hospital Unit (273R00000X) |
United | 541 | $15461.23 | 1427806025 - LEE HEALTH SYSTEM INC, LEE PHARMACY #1 | 992646504 | FL | General Acute Care Hospital (282N00000X) |
United | 541 | $16849.69 | 1265532915 - FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE, FRANCISCAN HEALTH - INPATIENT REHAB UNIT | 350913537 | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 541 | $6776.14 | 1992759419 - HCA HEALTH SERVICES OF FLORIDA, INC., HCA FLORIDA BAYONET POINT HOSPITAL | 621113740 | FL | General Acute Care Hospital (282N00000X) |
United | 541 | $46408.19 | 1467427674 - HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS, PATTERSON HEALTH CENTER | 480993940 - (KS) HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS | KS | 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 541 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 541 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 541 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 |
|---|---|---|
| 540-APR-DRG | High | CESAREAN SECTION W/O STERILIZATION |
| 540-MS-DRG | High | Osteomyelitis with CC |
| 541-MS-DRG | High | Osteomyelitis without CC/MCC |
| 542-APR-DRG | High | VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION &/OR D&C |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 541. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 541 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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