MS-DRG 617 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 617 by major payers:
$25,175.66
$26,269.33
$30,791.57
$31,520.62
| 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 617 | ||||||
United | 617 | $64944.26 | 1750542940 - LONG ISLAND JEWISH MEDICAL CENTER, COHENS CHILDRENS HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | Children's Hospital (282NC2000X) |
United | 617 | $42549.28 | 1578640728 - UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, UNIVERSITY HOSPITALS CASE MEDICAL CENTER - REHAB | 341567805 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 617 | $46961.05 | 1184974529 - SUNY HEALTHSCIENCE CENTER AT SYRACUSE, UPSTATE UNIVERSITY HOSPITAL | 161469571 | NY | General Acute Care Hospital (282N00000X) |
United | 617 | $23415.48 | 1851369243 - PARKWEST MEDICAL CENTER | 581897274 - (TN) PARKWEST MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 617 | $33464.01 | 1578693321 - INOVA FAIRFAX HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 617 | $7117.00 | 1215914254 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. | 730606129 - JANE PHILLIPS MEMORIAL MEDICAL CENTER INC | OK | General Acute Care Hospital (282N00000X) |
United | 617 | $29798.09 | 1932379856 - PREFERRED HOSPITAL LEASING HEMPHILL, INC, SABINE COUNTY HOSPITAL | 261955689 | TX | Critical Access Hospital (282NC0060X) |
United | 617 | $13660.28 | 1457454431 - MEMORIAL HEALTH SYSTEM OF EAST TEXAS, CHI ST LUKE'S HEALTH MEMORIAL LUFKIN | 750755367 - (TX) MEMORIAL HEALTH SYSTEM OF EAST TEXAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 617 | $28856.74 | 1053360651 - EAST BATON ROUGE MEDICAL CENTER LLC, OCHSNER MEDICAL CENTER BATON ROUGE | 201729674 | LA | General Acute Care Hospital (282N00000X) |
United | 617 | $30894.05 | 1316536253 - ADVENTHEALTH SOUTH OVERLAND PARK, INC. | 364595806 - (KS) ADVENTHEALTH SOUTH OVERLAND PARK INC | KS | General Acute Care Hospital (282N00000X) |
United | 617 | $38786.53 | 1881758126 - KISHWAUKEE COMMUNITY HOSPITAL, NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL | 237087041 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 617 | $1500.00 | 1407805971 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER | 640468873 | MS | General Acute Care Hospital (282N00000X) |
United | 617 | $16509.39 | 1477859254 - NASHOBA VALLEY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL, INC, NASHOBA VALLEY MEDICAL CENTER | 274157855 | MA | General Acute Care Hospital (282N00000X) |
United | 617 | $15280.65 | 1073566246 - PUBLIC HOSPITAL DIST NO 1 SKAGIT, CASCADE VALLEY HOSPITAL | 562392010 | WA | General Acute Care Hospital (282N00000X) |
United | 617 | $44756.71 | 1952762551 - CHILDREN'S HOSPITAL COLORADO, CHILDREN'S HOSPITAL COLORADO OUTPATIENT SPECIALTY CARE PARKER | 840166760 - CHILDRENS HOSPITAL COLORADO | CO | Children's Hospital (282NC2000X) |
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 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.
| Code | Complexity | Description |
|---|---|---|
| 616-MS-DRG | High | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC |
| 617-MS-DRG | High | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC |
| 618-MS-DRG | High | Amputation 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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