MS-DRG 582 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 582 by major payers:
$19,645.35
$23,213.65
$27,983.00
$28,663.78
| 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 582 | ||||||
United | 582 | $3300.00 | 1265560726 - PROFESSIONAL RESOURCES MANAGEMENT OF RABUN,LLC, MOUNTAIN LAKES MEDICAL CENTER | 202012765 | GA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 582 | $10339.53 | 1770556482 - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN, INC, ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN | 631097851 - (AL) ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN INC | AL | Rehabilitation Hospital (283X00000X) |
United | 582 | $14335.32 | 1265516462 - FAYETTE MEDICAL CENTER, FAYETTE MEDICAL CENTER SWING BED UNIT | 636004942 | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 582 | $3744.00 | 1902972870 - HIGHLANDS HOSPITAL, PENN HIGHLANDS CONNELLSVILLE | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 582 | $16123.29 | 1386178721 - CLARKSDALE REGIONAL MEDICAL CENTER, INC., NORTHWEST MISSISSIPPI MEDICAL CENTER | 853959101 | MS | General Acute Care Hospital (282N00000X) |
United | 582 | $52185.76 | 1033889795 - PRISMA HEALTH-MIDLANDS, PRISMA HEALTH CANCER INST-RICHLAND | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 582 | $43265.14 | 1083274930 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 582 | $44116.23 | 1154355188 - BANNER THUNDERBIRD MEDICAL CENTER | 270036484 - (AZ) BANNER THUNDERBIRD MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 582 | $41437.60 | 1982666111 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN HOSPITAL | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 582 | $47546.82 | 1043462013 - GADSDEN REGIONAL MEDICAL CENTER LLC, GADSDEN REGIONAL MEDICAL CENTER | 631102774 | AL | General Acute Care Hospital (282N00000X) |
United | 582 | $18925.22 | 1013365824 - ST VINCENTS CHILTON LLC, ST VINCENTS CHILTON SWING BEDS | 810935368 | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 582 | $23995.39 | 1285709261 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER RTC | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 582 | $44585.55 | 1790264497 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES, MCP | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 582 | $7243.00 | 1033187182 - SHASTA REGIONAL MEDICAL CENTER, LLC | 263487583 | CA | General Acute Care Hospital (282N00000X) |
United | 582 | $43235.03 | 1194758284 - BANNER BAYWOOD MEDICAL CENTER | 363386394 - (AZ) BANNER BAYWOOD MEDICAL CENTER | 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 582 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 582 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 582 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 |
|---|---|---|
| 581-APR-DRG | High | NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
| 581-MS-DRG | High | Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC |
| 582-MS-DRG | High | Mastectomy for Malignancy with CC/MCC |
| 583-APR-DRG | High | NEONATE W ECMO |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 582 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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