MS-DRG 583 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 583 by major payers:
$17,682.12
$21,282.09
$25,997.25
$26,797.99
| 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 583 | ||||||
United | 583 | $39081.48 | 1427068345 - UNIVERSITY COMMUNITY HOSPITAL, INC, FLORIDA HOSPITAL CARROLLWOOD | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 583 | $5135.60 | 1861487779 - SOUTH LIMESTONE HOSPITAL DISTRICT, LIMESTONE MEDICAL CENTER | 741744089 | TX | Critical Access Hospital (282NC0060X) |
United | 583 | $30018.69 | 1073608139 - VANDERBILT UNIV. MEDICAL CENTER, TVHS | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 583 | $22707.03 | 1790752236 - WAKEMED, WAKEMED RALEIGH CAMPUS REHABILITATION UNIT | 566017737 - WAKEMED | NC | Rehabilitation Hospital Unit (273Y00000X) |
United | 583 | $10223.87 | 1699110155 - POST ACUTE SPECIALTY HOSPITAL OF TULSA LLC, PAM SPECIALTY HOSPITAL OF TULSA | 462632812 - (OK) POST ACUTE SPECIALTY HOSPITAL OF TULSA LLC | OK | Long Term Care Hospital (282E00000X) |
United | 583 | $4120.00 | 1386834547 - JOHNSTON MEMORIAL HOSPITAL, HOSPITALIST OF JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | Hospitalist Physician (208M00000X) |
United | 583 | $40221.00 | 1346603107 - LONG ISLAND JEWISH MEDICAL CENTER, LONG ISLAND JEWISH VALLEY STREAM | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 583 | $15101.00 | 1073580726 - METHODIST HOSPITAL PLAINVIEW TEXAS, COVENANT HOSPITAL PLAINVIEW | 752426010 - (TX) METHODIST HOSPITAL PLAINVIEW TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 583 | $16049.23 | 1891338554 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 583 | $18582.83 | 1285705988 - MIDLAND MEMORIAL HOSPITAL | 751584559 - (TX) MIDLAND COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 583 | $23731.59 | 1366428161 - MARY GREELEY MEDICAL CENTER | 421347891 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 583 | $15769.91 | 1912999137 - MADELIA HEALTH, MADELIA COMMUNITY HOSPITAL & CLINIC | 410758512 - (MN) MADELIA HEALTH | MN | Critical Access Hospital (282NC0060X) |
United | 583 | $11654.30 | 1215916812 - WILLIAM BEAUMONT HOSPITAL, COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL REHABILITATION | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 583 | $41264.62 | 1841258639 - MULTICARE HEALTH SYSTEM, MULTICARE CAPITAL MEDICAL CENTER | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 583 | $10528.05 | 1790747160 - BLOUNT MEMORIAL HOSPITAL, INC., EMOTIONAL HEALTH AND RECOVERY CENTER | 620505512 | TN | Psychiatric Hospital Unit (273R00000X) |
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 583 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 583 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 583 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 |
|---|---|---|
| 582-APR-DRG | Moderate | Other Disorders Of Nervous System |
| 582-MS-DRG | High | Mastectomy for Malignancy with CC/MCC |
| 583-MS-DRG | High | Mastectomy for Malignancy without CC/MCC |
| 584-APR-DRG | Moderate | Other Disorders Of Nervous System |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 583 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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