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See a sample rate comparisonMS-DRG 553 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.
BONE DISEASES AND ARTHROPATHIES WITH 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 553 by major payers:
$15,843.38
$18,012.57
$20,586.32
$20,984.87
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MS-DRG 553
5 of 25 sample ratesHigher to lower in this preview
University Of California Irvine, Uci Medical Center
Regents Of The University Of California At Irvine
$135,891.90Published rateProvidence Health & Services Oregon, Providence Portland Medical Center
$24,154.47Published rateEndeavor Health Clinical Operations, Highland Park Hospital-Psych Unit
Northshore University Healthsystem
$20,702.27Published rateSsm Health Care St. Louis, Ssm Health Depaul Hospital - St. Louis
Ssm Health Care St Louis
$14,419.15Published rateClhg-Winn, LLC, Winn Parish Medical Center
$2,500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 553 vs. Other Diseases & Disorders of the Musculoskeletal System & Connective Tissue Codes
The MS-DRG 553 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 553 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 |
|---|---|---|
| 552-APR-DRG | Moderate | Head Trauma With Coma > 1 Hour Or Hemorrhage |
| 552-MS-DRG | High | MEDICAL BACK PROBLEMS WITHOUT MCC |
| 553-MS-DRG | High | BONE DISEASES AND ARTHROPATHIES WITH MCC |
| 554-APR-DRG | Moderate | Head Trauma With Coma > 1 Hour Or Hemorrhage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 553. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 553 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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