MS-DRG 584 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 584 by major payers:
$22,228.34
$26,594.74
$32,539.72
$33,334.57
| 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 584 | ||||||
United | 584 | $45055.82 | 1558148627 - INTEGRIS HEALTH WOODWARD HOSPITAL INC, INTEGRIS HEALTH WOODWARD HOSPITAL | 932826081 | OK | General Acute Care Hospital (282N00000X) |
United | 584 | $41642.00 | 1497792527 - UNIVERSITY HEALTHCARE SYSTEM, L.C., TULANE LAKESIDE HOSPITAL | 621596506 | LA | General Acute Care Hospital (282N00000X) |
United | 584 | $22607.43 | 1144695081 - HH HEALTH SYSTEM, ATHENS LIMESTONE HOSPITAL | 475531420 | AL | General Acute Care Hospital (282N00000X) |
United | 584 | $13355.19 | 1467556761 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST BEAUMONT | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 584 | $42513.10 | 1164473039 - MARGARETVILLE MEMORIAL HOSPITAL | 150552726 - (NY) MARGARETVILLE MEMORIAL HOSPITAL | NY | Critical Access Hospital (282NC0060X) |
United | 584 | $59338.00 | 1043291164 - SUTTER TRACY COMMUNITY HOSPITAL | 941156621 - (CA) SUTTER VALLEY HOSPITALS | CA | General Acute Care Hospital (282N00000X) |
United | 584 | $22324.84 | 1154936987 - KREMMLING MEMORIAL HOSPITAL DISTRICT, MIDDLE PARK MEDICAL CENTER - GRANBY | 840676212 - (CO) KREMMLING MEMORIAL HOSPITAL DISTRICT | CO | Critical Access Hospital (282NC0060X) |
United | 584 | $4958.00 | 1831330075 - JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 584 | $47018.53 | 1710061023 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 584 | $39281.67 | 1497708838 - THE PRESBYTERIAN HOSPITAL, PRESBYTERIAN BEHAVIORAL HEALTH UNIT | 560554230 - PRESBYTERIAN HOSPITAL | NC | Psychiatric Hospital Unit (273R00000X) |
United | 584 | $22607.43 | 1144695081 - HH HEALTH SYSTEM, ATHENS LIMESTONE HOSPITAL | 475531420 | AL | General Acute Care Hospital (282N00000X) |
United | 584 | $18231.18 | 1891776217 - JEFFERSON COUNTY HMA, LLC, TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL | 452528414 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 584 | $32037.00 | 1316002520 - VALLEY WEST COMMUNITY HOSPITAL | 364244337 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Critical Access Hospital (282NC0060X) |
United | 584 | $31808.41 | 1760542732 - SWEDISHAMERICAN HOSPITAL | 362222696 - SWEDISHAMERICAN HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 584 | $60324.58 | 1255334173 - FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., FROEDTERT HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | 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 584 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 584 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 584 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 |
|---|---|---|
| 583-APR-DRG | High | NEONATE W ECMO |
| 583-MS-DRG | High | Mastectomy for Malignancy without CC/MCC |
| 584-MS-DRG | High | Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC |
| 585-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 584. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 584 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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