MS-DRG 594 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 594 by major payers:
$10,035.67
$18,731.96
$13,372.27
$13,811.18
| 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 594 | ||||||
United | 594 | $17299.05 | 1942749387 - MCHS HOSPITALS INC, MARSHFIELD MEDICAL CENTER | 810977948 - MCHS HOSPITALS INC | WI | Rural Acute Care Hospital (282NR1301X) |
United | 594 | $15306.30 | 1396402053 - LEHIGH VALLEY HOSPITAL- POCONO, POCONO MEDICAL CENTER | 240795623 - (PA) POCONO MEDICAL CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 594 | $13476.50 | 1487253449 - VANDERBILT BEDFORD HOSPITAL, LLC, VANDERBILT BEDFORD HOSPITAL | 853419620 | TN | General Acute Care Hospital (282N00000X) |
United | 594 | $13488.29 | 1992131734 - DIGNITY HEALTH, ST. JOSEPH'S WESTGATE MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 594 | $20457.91 | 1962556274 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 594 | $7501.66 | 1043646136 - MANAGED HEALTH CARE ADMINISTRATION, INC | 460928982 | AL | General Acute Care Hospital (282N00000X) |
United | 594 | $9067.50 | 1912060526 - EAST TEXAS MEDICAL CENTER TRINITY, COMMUNITY HEALTH CLINIC | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 594 | $7282.04 | 1346248986 - JOHNSON MEMORIAL HOSPITAL, JOHNSON MEMORIAL HOSPITAL | 351166081 - JOHNSON MEMORIAL HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 594 | $12294.50 | 1952465320 - OTTUMWA REGIONAL HEALTH CENTER, INC | 272200283 | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 594 | $22108.64 | 1184654923 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS MEDICAL CENTER OF MODESTO | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 594 | $18956.56 | 1033167051 - SOUTHWESTERN MEDICAL CENTER, LLC, SOUTHWESTERN MEDICAL CENTER | 621757662 | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 594 | $47727.71 | 1134278435 - SCOTT REGIONAL MEDICAL CENTER, INC., OCHSNER SCOTT REGIONAL | 260792328 - (MS) SCOTT REGIONAL MEDICAL CENTER INC | MS | Critical Access Hospital (282NC0060X) |
United | 594 | $16031.08 | 1962809947 - PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC, ST. MARY'S HOSPITAL | 472264005 | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 594 | $10862.50 | 1023160314 - ST. ANTHONY'S HOSPITAL ASSOCIATION, ST. VINCENT MORRILTON | 710245507 - (AR) ST ANTHONYS HOSPITAL ASSOCIATION | AR | Critical Access Hospital (282NC0060X) |
United | 594 | $9670.08 | 1679116347 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
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 594 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 594 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 594 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 |
|---|---|---|
| 593-APR-DRG | High | NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
| 593-MS-DRG | High | Skin Ulcers with CC |
| 594-MS-DRG | High | Skin Ulcers without CC/MCC |
| 595-MS-DRG | High | Major Skin Disorders 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 594. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 594 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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