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MS-DRG 575 Fee Schedule

Last Verified: October 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.

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
Key FactDetail
Service Type

Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 575 by major payers:

bcbs

$22,410.94

uhc

$26,294.66

aetna

$31,170.21

cigna

$32,292.21

Compare published rates across providers.

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MS-DRG 575
5 of 25 sample ratesHigher to lower in this preview
  1. Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital-Swing Bed Unit

    Coastal Carolina Medical Center Inc

    SCMedicare Defined Swing Bed Hospital UnitNPI 1164458196Tax ID 30-0151925

    $106,062.70Published rate
  2. Franciscan Health Indianapolis

    INGeneral Acute Care HospitalNPI 1225589245Tax ID 35-0913537

    $38,454.44Published rate
  3. Parkview Medical Center, Inc.

    Parkview Medical Center Inc

    CORehabilitation Hospital UnitNPI 1346205382Tax ID 84-0935136

    $33,672.35Published rate
  4. St John Hospital

    Ascension St John Hospital

    MIGeneral Acute Care HospitalNPI 1821173196Tax ID 38-1359063

    $21,576.33Published rate
  5. Dayton Children'S Hospital

    Dayton Childrens Hospital

    OHChildren's HospitalNPI 1457379448Tax ID 31-0672132

    $13,786.04Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 575 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes

The MS-DRG 575 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 575 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.

CodeComplexityDescription
574-APR-DRGModerateConcussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma
574-MS-DRGHighSKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
575-MS-DRGHighSKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
576-MS-DRGHighSKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH 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 575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 575 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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