MS-DRG 606 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 606 by major payers:
$16,929.08
$21,274.22
$25,211.99
$25,701.64
| 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 606 | ||||||
United | 606 | $47449.10 | 1679587679 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, NORTH CENTRAL BRONX HOSPITAL | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 606 | $19885.58 | 1780868075 - FORT SANDERS REGIONAL MEDICAL CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 606 | $19104.59 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 606 | $2771.00 | 1437136843 - WYOMING COUNTY | 166002571 | NY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 606 | $12305.80 | 1073601043 - HH HEALTH SYSTEM, RED BAY HOSPITAL | 472323163 - (AL) HH HEALTH SYSTEM | AL | Critical Access Hospital (282NC0060X) |
United | 606 | $20679.71 | 1447639398 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 606 | $27421.65 | 1598703019 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NY | General Acute Care Hospital (282N00000X) |
United | 606 | $18151.83 | 1285621839 - MEMORIAL HOSPITAL OF LARAMIE COUNTY, CHEYENNE REGIONAL MEDICAL CENTER | 836000194 - MEMORIAL HOSPITAL OF LARAMIE COUNTY | WY | General Acute Care Hospital (282N00000X) |
United | 606 | $15840.51 | 1518129881 - LESTER E COX MEDICAL CENTERS, COX WALNUT LAWN PHARMACY | 440577118 - LESTER E COX MEDICAL CENTER | MO | General Acute Care Hospital (282N00000X) |
United | 606 | $11494.00 | 1104822915 - BAYLOR MEDICAL CENTER AT IRVING, BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | 752586857 - (TX) BAYLOR MEDICAL CENTER AT IRVING | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 606 | $16682.00 | 1043267727 - SAMARITAN HOSPITAL OF TROY, NEW YORK, SAMARITAN BEHAVIORAL HEALTH SERVICES | 141338544 - SAMARITAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 606 | $10483.65 | 1427048453 - MEDINA COUNTY HOSPITAL DISTRICT, MEDINA REGIONAL HOSPITAL | 270492434 | TX | Critical Access Hospital (282NC0060X) |
United | 606 | $28542.24 | 1811341290 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 606 | $3744.00 | 1669740056 - HIGHLANDS HOSPITAL AND HEALTH CENTER | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 606 | $28085.24 | 1770527236 - ENDEAVOR HEALTH CLINICAL OPERATIONS, HIGHLAND PARK HOSPITAL-PSYCH UNIT | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | 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 606 vs. Other Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Codes
The MS-DRG 606 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 606 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 |
|---|---|---|
| 605-MS-DRG | High | Trauma to the Skin, Subcutaneous Tissue and Breast without MCC |
| 606-MS-DRG | High | Minor Skin Disorders with MCC |
| 607-APR-DRG | High | NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
| 607-MS-DRG | High | Minor Skin Disorders without 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 606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 606 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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