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See a sample rate comparisonMS-DRG 547 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.
CONNECTIVE TISSUE DISORDERS 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 547 by major payers:
$10,138.88
$11,024.00
$11,994.84
$12,276.91
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MS-DRG 547
5 of 25 sample ratesHigher to lower in this preview
Froedtert Memorial Lutheran Hospital, Inc., Froedtert Hospital
Community Memorial Hospital Of Menomonee Falls Inc
$21,986.03Published rateTarzana Medical Center LLC, Providence Cedars-Sinai Tarzana Medical Center
Tarzana Medical Center LLC
$14,764.30Published rateSouthwest General Health Center, Oakview Mental Health Services
Southwest General Health Center
$11,892.40Published rateCbch LLC
Cox Barton County Hospital
$9,121.54Published rateMountain States Health Alliance, Russell County Psychiatric Unit
Mountain States Health Alliance
$3,564.00Published rate
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See a sample payer proposalMS-DRG 547 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 547 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 547 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 |
|---|---|---|
| 546-APR-DRG | High | Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses |
| 546-MS-DRG | High | CONNECTIVE TISSUE DISORDERS WITH CC |
| 547-MS-DRG | High | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC |
| 548-APR-DRG | High | POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 547. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 547 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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