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MS-DRG 617 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.

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
Key FactDetail
Service Type

Endocrine, Nutritional & Metabolic Diseases & Disorders

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 617 by major payers:

bcbs

$25,175.66

uhc

$26,269.33

aetna

$30,791.57

cigna

$31,520.62

Compare published rates across providers.

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MS-DRG 617
5 of 25 sample ratesHigher to lower in this preview
  1. Long Island Jewish Medical Center, Cohens Childrens Hospital

    Long Island Jewish Medical Center

    NYChildren's HospitalNPI 1750542940Tax ID 11-2241326

    $64,944.26Published rate
  2. Inova Fairfax Hospital

    Inova Health Care Services

    VAGeneral Acute Care HospitalNPI 1578693321Tax ID 54-0620889

    $33,464.01Published rate
  3. Parkwest Medical Center

    TNPsychiatric Hospital UnitNPI 1851369243Tax ID 58-1897274

    $23,415.48Published rate
  4. Magnolia Regional Medical Center

    Magnolia Regional Health System Inc

    ARGeneral Acute Care HospitalNPI 1346248317Tax ID 85-0512754

    $15,684.58Published rate
  5. Southwest Mississippi Regional Medical Center

    MSGeneral Acute Care HospitalNPI 1407805971Tax ID 64-0468873

    $1,500.00Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 617 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes

The MS-DRG 617 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 617 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.

CodeComplexityDescription
616-MS-DRGHighAMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
617-MS-DRGHighAMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
618-MS-DRGHighAMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 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 617. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 617 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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