MS-DRG 548 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 548 by major payers:
$23,017.01
$27,702.52
$31,530.20
$32,039.98
| 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 548 | ||||||
United | 548 | $34248.19 | 1679632137 - EHCA JOHNS CREEK, LLC, EMORY JOHNS CREEK HOSPITAL | 582433436 | GA | General Acute Care Hospital (282N00000X) |
United | 548 | $19020.68 | 1437259694 - HEARTLAND REGIONAL MEDICAL CENTER, MOSAIC LIFE CARE AT ST JOSEPH MEDICAL CENTER | 440545289 - HEARTLAND REGIONAL MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | 548 | $29247.00 | 1033214416 - COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC, COMMUNITY FIRST MEDICAL CENTER | 472313900 - (IL) COMMUNITY FIRST HEALTHCARE OF IL | IL | General Acute Care Hospital (282N00000X) |
United | 548 | $2612.00 | 1639156045 - WYOMING COUNTY, WYOMING COUNTY COMMUNITY HOSPITAL PSYCH | 166002571 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 548 | $19356.27 | 1932260676 - RUSH OAK PARK HOSPITAL, RUSH OAK PARK HOSPITAL REHABILITATION UNIT | 362183812 - (IL) RUSH OAK PARK HOSPITAL INC | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 548 | $67521.32 | 1710140322 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | General Acute Care Hospital (282N00000X) |
United | 548 | $2612.00 | 1639156045 - WYOMING COUNTY, WYOMING COUNTY COMMUNITY HOSPITAL PSYCH | 166002571 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 548 | $42169.60 | 1710333893 - THEDACARE MEDICAL CENTER, RIVERSIDE MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 548 | $27593.14 | 1518945799 - FORT SANDERS REGIONAL MEDICAL CENTER, PATRICIA NEAL REHABILITATION CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 548 | $32064.46 | 1295824001 - MERCY HEALTH SERVICES-IOWA CORP, ACUTE REHABILITATON UNIT | 311373080 - MERCY HEALTH SERVICES IOWA CORP | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 548 | $9890.00 | 1477616571 - LENOX HILL HOSPITAL | 131624070 - (NY) LENOX HILL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 548 | $20122.58 | 1770717167 - EAST TEXAS MEDICAL CENTER HENDERSON | 824019349 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 548 | $35154.76 | 1750159604 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST EMERGENCY ST. AUGUSTINE | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 548 | $39752.51 | 1881729036 - TAYLORVILLE MEMORIAL CHILDRENS HOSPITAL | 370661250 - (IL) MEMORIAL HEALTH SYSTEM | IL | Children's Hospital (282NC2000X) |
United | 548 | $23852.85 | 1841789427 - NEW MANNA CLG, LLC, LAKE HEALTH BEACHWOOD MEDICAL CENTER | 371848577 - (OH) NEW MANNA CLG LLC | OH | General Acute Care Hospital (282N00000X) |
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 548 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 548 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 548 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 |
|---|---|---|
| 547-APR-DRG | High | ANTEPARTUM W O.R. PROCEDURE |
| 547-MS-DRG | High | Connective Tissue Disorders without CC/MCC |
| 548-MS-DRG | High | Septice Arthritis with MCC |
| 549-MS-DRG | High | Septice Arthritis with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 548. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 548 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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