MS-DRG 614 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 | • Endocrine, Nutritional & Metabolic Diseases & Disorders |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 614 by major payers:
$28,304.28
$29,728.05
$36,059.62
$36,975.94
| 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 614 | ||||||
United | 614 | $34031.25 | 1811904063 - OVERLAKE HOSPITAL MEDICAL CENTER | 910652651 - (WA) OVERLAKE HOSPITAL MEDICAL CENTER | WA | Psychiatric Hospital Unit (273R00000X) |
United | 614 | $10457.05 | 1265481337 - JOHNSON REGIONAL MEDICAL CENTER, JRMC SENIOR CARE | 710403278 - JOHNSON COUNTY REGIONAL HOSPITAL | AR | Psychiatric Hospital Unit (273R00000X) |
United | 614 | $28724.51 | 1982671491 - BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION, BAPTIST ST. ANTHONY'S HEALTH SYSTEM-BAPTIST CAMPUS | 300754305 | TX | General Acute Care Hospital (282N00000X) |
United | 614 | $4158.00 | 1205488996 - MOUNTAIN STATES HEALTH ALLIANCE, LEE COUNTY COMMUNITY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Critical Access Hospital (282NC0060X) |
United | 614 | $30939.69 | 1851551733 - METROHEALTH MEDICAL CENTER | 346004382 | OH | Children's Hospital (282NC2000X) |
United | 614 | $6034.00 | 1245227180 - ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 614 | $30939.69 | 1851551733 - METROHEALTH MEDICAL CENTER | 346004382 | OH | Children's Hospital (282NC2000X) |
United | 614 | $26411.33 | 1558479212 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE SOUTHLAND HEALTH NETWORK | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 614 | $46732.46 | 1275782039 - ST. BARNABAS HOSPITAL-FTMHC | 131740122 - (NY) ST BARNABAS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 614 | $24629.15 | 1184967523 - ST VINCENTS BLOUNT | 810935368 | AL | Critical Access Hospital (282NC0060X) |
United | 614 | $10339.53 | 1952307811 - AMERICAN TRANSITIONAL HOSPITALS LLC, SELECT SPECIALTY HOSPITAL - ATLANTA | 760232151 - (GA) AMERICAN TRANSITIONAL HOSPITALS LLC | GA | Long Term Care Hospital (282E00000X) |
United | 614 | $29795.65 | 1114473329 - EMERUS BHS SA THOUSAND OAKS LLC, BAPTIST NEIGHBORHOOD HOSPITAL SHAVANO PARK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 614 | $24132.33 | 1316112600 - BROOKDALE HOSPITAL MEDICAL CENTER, PSYCHITARY UNIT | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 614 | $49994.26 | 1437558558 - TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL, TEXAS HEALTH BEHAVIORAL HEALTH FACILITY ARLINGTON | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | Psychiatric Hospital Unit (273R00000X) |
United | 614 | $24161.47 | 1215534466 - COVENANT HOSPITAL HOBBS, COVENANT HEALTH HOBBS HOSPITAL | 621760149 | NM | 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 614 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 614 code is part of the Endocrine, Nutritional & Metabolic Diseases & Disorders 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 614 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 |
|---|---|---|
| 614-MS-DRG | High | Adrenal and Pituitary Procedures with CC/MCC |
| 615-MS-DRG | High | Adrenal and Pituitary Procedures without CC/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 614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 614 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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