MS-DRG 570 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 Skin, Subcutaneous Tissue & Breast |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 570 by major payers:
$33,967.12
$40,269.93
$47,194.50
$48,454.62
| 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 570 | ||||||
United | 570 | $47357.17 | 1184655581 - UNIVERSITY OF CALIFORNIA IRVINE, UCI HEALTH LAKEWOOD | 752919841 - (CA) LAKEWOOD REGIONAL MEDICAL CENTER INC | CA | General Acute Care Hospital (282N00000X) |
United | 570 | $64752.41 | 1780653618 - H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. | 593238634 - (FL) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC | FL | Special Hospital (284300000X) |
United | 570 | $28043.01 | 1386823631 - MERCY HOSPITAL JEFFERSON | 430687077 - (MO) MERCY HOSPITAL JEFFERSON | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 570 | $49125.10 | 1578506762 - CITRUS HMA LLC, BRAVERA HEALTH SEVEN RIVERS | 200195256 | FL | General Acute Care Hospital (282N00000X) |
United | 570 | $69945.00 | 1407917057 - WINTER HAVEN HOSPITAL | 590724462 - (FL) WINTER HAVEN HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 570 | $79744.75 | 1285798918 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 570 | $101208.93 | 1750542940 - LONG ISLAND JEWISH MEDICAL CENTER, COHENS CHILDRENS HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | Children's Hospital (282NC2000X) |
United | 570 | $43097.03 | 1316041577 - HAYWOOD REGIONAL MEDICAL CENTER, HRMC UCC PRO FEES | 300830918 | NC | General Acute Care Hospital (282N00000X) |
United | 570 | $24262.00 | 1902878994 - COMMUNITY HOWARD REGIONAL HEALTH, INC | 351865344 - (IN) COMMUNITY HOWARD REGIONAL HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 570 | $59216.64 | 1730330838 - PROVIDENCE HEALTH & SERVICES-WA | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 570 | $71146.07 | 1235162645 - NORCAL HEALTHCONNECT LLC, PETALUMA VALLEY HOSPITAL | 852390012 | CA | General Acute Care Hospital (282N00000X) |
United | 570 | $44563.00 | 1780837435 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 570 | $30822.08 | 1154406254 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 570 | $21736.73 | 1407364847 - TYLER REGIONAL HOSPITAL LLC | 823878395 | TX | General Acute Care Hospital (282N00000X) |
United | 570 | $19081.66 | 1740698109 - SEILING MUNICIPAL HOSPITAL AUTHORITY | 731430977 | OK | 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 570 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 570 code is part of the Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast 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 570 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 |
|---|---|---|
| 570-MS-DRG | High | Skin Debridement with MCC |
| 571-APR-DRG | Moderate | Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma |
| 571-MS-DRG | High | Skin Debridement 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 570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 570 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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