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See a sample rate comparisonMS-DRG 583 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.
MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
| 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
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MS-DRG 583
5 of 25 sample ratesHigher to lower in this preview
Alameda Health System, Fairmont Hospital
$42,150.03Published rateVanderbilt Univ. Medical Center, Tvhs
Vanderbilt University Medical Center
$30,018.69Published rateMidland Memorial Hospital
Midland County Hospital District
$18,582.83Published rateMetro Knoxville Hma LLC, Tennova Healthcare North Knoxville Medical Center
$11,944.37Published rateJohnston Memorial Hospital, Hospitalist Of Johnston Memorial Hospital
Johnston Memorial Hospital Inc
$4,120.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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