MS-DRG 601 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 601 by major payers:
$7,753.98
$8,818.72
$9,640.17
$9,961.37
| 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 601 | ||||||
United | 601 | $500.00 | 1851642540 - HOUSTON COUNTY COMMUNITY HOSPITAL | 462490116 | TN | General Acute Care Hospital (282N00000X) |
United | 601 | $9229.45 | 1902832306 - THEDACARE REGIONAL MEDICAL CENTER, APPLETON MEDICAL CENTER,INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 601 | $9405.55 | 1811912405 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF NEUROLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 601 | $8630.40 | 1578630026 - ARIA HEALTH, ARIA HEALTH BUCKS COUNTY PYSCHE UNIT | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | Psychiatric Hospital Unit (273R00000X) |
United | 601 | $13948.57 | 1356586093 - ABBOTT NORTHWESTERN HOSPITAL | 363261413 - ALLINA HEALTH SYSTEM | MN | General Acute Care Hospital (282N00000X) |
United | 601 | $8630.11 | 1497194690 - MORRISTOWN MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 601 | $9405.55 | 1811912405 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF NEUROLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 601 | $7403.83 | 1629057229 - AHS HILLCREST MEDICAL CENTER, LLC, HILLCREST MEDICAL CENTER | 770633896 - (OK) AHS HILLCREST MEDICAL CENTER LLC | OK | General Acute Care Hospital (282N00000X) |
United | 601 | $7921.00 | 1184709057 - ORLANDO HEALTH, INC. | 800764192 - (FL) ORLANDO HEALTH CENTRAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 601 | $7651.41 | 1568538387 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH HOSPITAL - ELGIN PSYCHIATRIC UNIT | 992115457 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 601 | $16013.24 | 1174506943 - WEST GEORGIA HEALTH SYSTEM | 205497506 - (GA) WEST GEORGIA MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 601 | $19205.91 | 1912939703 - CHILDREN'S HOSPITAL | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 601 | $13902.00 | 1497900781 - MONMOUTH MEDICAL CENTER INC | 223452412 | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 601 | $6827.22 | 1053496026 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 601 | $5543.20 | 1780823021 - CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, CORYELL MEMORIAL HOSPITAL | 741857100 | TX | Critical Access Hospital (282NC0060X) |
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 601 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 601 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 601 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 |
|---|---|---|
| 600-MS-DRG | High | Non-malignant Breast Disorders with CC/MCC |
| 601-MS-DRG | High | Non-malignant Breast Disorders without CC/MCC |
| 602-APR-DRG | High | NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
| 602-MS-DRG | High | Cellulitis 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 601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 601 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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