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See a sample rate comparisonMS-DRG 615 Fee Schedule
Last Verified: October 2026
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.
ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
| 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 615 by major payers:
$19,529.62
$19,173.09
$22,854.49
$23,462.74
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MS-DRG 615
5 of 25 sample ratesHigher to lower in this preview
Westchester County Health Care Corporation, Mid-Hudson Valley Division Of Westchester Medical Center
Peo Mid-Hudson Valley Staffco
$50,881.53Published rateMercy Health-St Charles Hospital LLC
Mercy Health - St Vincent Medical Center LLC
$26,206.69Published rateJ. Arthur Dosher Memorial Hospital, Dosher Medical Associates
J Arthur Dosher Memorial Hospital
$17,963.43Published rateTexas Heart Hospital Of The Southwest, LLC, Baylor Scott & White Heart And Vascular Hospital - Dallas
Texas Heart Hospital Of The Southwest, L.L.P
$10,345.00Published rateVanderbilt University Medical Center, Vanderbilt Wilson County Hospital
$1,787.00Published rate
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See a sample payer proposalMS-DRG 615 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 615 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 615 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-APR-DRG | High | NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
| 614-MS-DRG | High | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC |
| 615-MS-DRG | High | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC |
| 616-MS-DRG | High | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC 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 615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 615 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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