MS-DRG 574 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 574 by major payers:
$37,416.34
$45,599.66
$54,124.83
$55,682.06
| 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 574 | ||||||
United | 574 | $61231.71 | 1982658407 - LEE MEMORIAL HEALTH SYSTEM, GULF COAST MEDICAL CENTER | 992646504 | FL | General Acute Care Hospital (282N00000X) |
United | 574 | $24446.83 | 1760567515 - ALLIANCE COMMUNITY HOSPITAL | 340714581 - (OH) AULTMAN HEALTH FOUNDATION | OH | Psychiatric Hospital Unit (273R00000X) |
United | 574 | $80795.78 | 1700495389 - NAPLES HMA LLC, PHYSICIANS REGIONAL MEDICAL CENTER | 204401957 | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 574 | $24470.71 | 1396790325 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, CAROLINAS HEALTHCARE SYSTEM UNION | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 574 | $46110.03 | 1740347087 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 574 | $85087.54 | 1912982216 - ST JOSEPH HOSPITAL OF ORANGE, PROVIDENCE ST. JOSEPH HOSPITAL | 951643359 - (CA) ST JOSEPH HOSPITAL OF ORANGE | CA | General Acute Care Hospital (282N00000X) |
United | 574 | $10278.00 | 1700247301 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO ORTHOPEDIC CARE | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
United | 574 | $46110.03 | 1740347087 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 574 | $65735.35 | 1306176839 - ORTHOCOLORADO, LLC, ORTHO COLORADO HOSPITAL AT ST ANTHONY MEDI | 371577105 - (CO) ORTHOCOLORADO HOSPITAL | CO | Special Hospital (284300000X) |
United | 574 | $72527.28 | 1518993880 - THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC., THEDA CLARK MEDICAL CENTER INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 574 | $66339.06 | 1669490819 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 951675600 - (CA) PROVIDENCE HEALTH SYSTEMS SO. CA SAN FERNANDO VALLEY SERVICE AREA | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 574 | $58106.37 | 1710097936 - OCHSNER MEDICAL CENTER | 205432782 | LA | General Acute Care Hospital (282N00000X) |
United | 574 | $60313.51 | 1790739977 - SAINT ANTHONY MEDICAL CENTER, OSF SAINT ANTHONY MEDICAL CENTER | 362167864 | IL | General Acute Care Hospital (282N00000X) |
United | 574 | $37937.19 | 1962455295 - IOM HEALTH SYSTEM LP, LUTHERAN HOSPITAL OF INDIANA-GERO PSYCH UNIT | 351963748 | IN | Psychiatric Hospital Unit (273R00000X) |
United | 574 | $8223.00 | 1891882833 - HILLCREST BAPTIST MEDICAL CENTER, BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | 741166904 - SCOTT & WHITE MEMORIAL HOSPITAL | TX | 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 574 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 574 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 574 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 |
|---|---|---|
| 573-APR-DRG | Moderate | Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma |
| 573-MS-DRG | High | Skin Graft for Skin Ulcer or Cellulitis with MCC |
| 574-MS-DRG | High | Skin Graft for Skin Ulcer or Cellulitis with CC |
| 575-MS-DRG | High | Skin Graft for Skin Ulcer or Cellulitis without CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 574. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 574 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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