MS-DRG 573 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 573 by major payers:
$61,096.65
$80,260.05
$95,429.70
$98,449.28
| 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 573 | ||||||
United | 573 | $187709.23 | 1740252592 - VHS ACQUISITION SUBSIDIARY NUMBER 9 INC, METROWEST MEDICAL CENTER | 621861200 - (MA) VHS ACQUISITION SUBSIDIARY NUMBER 9 INC | MA | General Acute Care Hospital (282N00000X) |
United | 573 | $104252.17 | 1316975626 - SAINT VINCENT HEALTH CENTER | 250965547 - (PA) HIGHMARK HEALTH | PA | Psychiatric Hospital Unit (273R00000X) |
United | 573 | $119155.00 | 1427447697 - VANDERBILT UNIVERSITY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 573 | $5761.00 | 1407344880 - CR EMERGENCY ROOM LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL ROCKWALL | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 573 | $19346.00 | 1962409987 - MERIDIAN HOSPITALS CORPORATION, OCEAN MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 573 | $102207.64 | 1396854543 - LIFECARE HOSPITAL OF NEW ORLEANS AT KENNER | 205432782 | LA | General Acute Care Hospital (282N00000X) |
United | 573 | $106370.59 | 1720142565 - SHAWNEE MISSION MEDICAL CENTER INC, ADVENTHEALTH SHAWNEE MISSION IP PSYCH | 480637331 - SHAWNEE MISSION MEDICAL CENTER INC | KS | Psychiatric Hospital Unit (273R00000X) |
United | 573 | $75745.85 | 1760867196 - UNIVERSITY OF KENTUCKY | 616001218 | KY | General Acute Care Hospital (282N00000X) |
United | 573 | $79520.84 | 1639271794 - GOTTLIEB MEMORIAL HOSPITAL, GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | Psychiatric Hospital Unit (273R00000X) |
United | 573 | $91369.21 | 1992131734 - DIGNITY HEALTH, ST. JOSEPH'S WESTGATE MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 573 | $65794.21 | 1821063553 - EAST TEXAS MEDICAL CENTER TRINITY | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 573 | $133201.87 | 1750301636 - SOUTHCOAST HOSPITALS GROUP,INC, CHARLTON MEMORIAL HOSPITAL - REHAB | 222592333 - SOUTHCOAST HOSPITALS GROUP INC | MA | Rehabilitation Hospital Unit (273Y00000X) |
United | 573 | $82078.92 | 1518993880 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 573 | $2765.00 | 1386657161 - WELLMONT HEALTH SYSTEM, NORTON COMMUNITY REHABILITAION UNIT | 621636465 - WELLMONT HEALTH SYSTEM | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 573 | $103094.42 | 1447898622 - VHS OF ARROWHEAD, INC., ABRAZO SURPRISE HOSPITAL | 621811285 | AZ | 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 573 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 573 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 573 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 |
|---|---|---|
| 572-APR-DRG | Moderate | Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma |
| 572-MS-DRG | High | Skin Debridement without CC/MCC |
| 573-MS-DRG | High | Skin Graft for Skin Ulcer or Cellulitis with MCC |
| 574-APR-DRG | Moderate | Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 573 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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