MS-DRG 619 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 619 by major payers:
$32,276.89
$34,429.14
$39,381.10
$42,778.79
| 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 619 | ||||||
United | 619 | $48259.05 | 1689679581 - ALLE-KISKI MEDICAL CENTER, ALLEGHENY VALLEY HOSPITAL | 251875178 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 619 | $40350.00 | 1356853907 - HMH HOSPITALS CORPORATION, RIVERVIEW MEDICAL CENTER-REHAB | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Rehabilitation Hospital Unit (273Y00000X) |
United | 619 | $3566.00 | 1669740056 - HIGHLANDS HOSPITAL AND HEALTH CENTER | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 619 | $24853.88 | 1760549562 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COX MEDICAL CENTER BRANSON | 440577118 - LESTER E COX MEDICAL CENTER | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 619 | $55092.67 | 1356350391 - BON SECOURS ST. FRANCIS MEDICAL CENTER LLC, BON SECOURS ST FRANCIS PROFESSIONAL FEE SERVICES | 311716973 | VA | General Acute Care Hospital (282N00000X) |
United | 619 | $29890.61 | 1962572396 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 619 | $27085.00 | 1992120851 - GREENVILLE HEALTH SYSTEM, GHS CROSS CREEK SURGERY CENTER | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 619 | $37562.98 | 1487724712 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 619 | $16359.00 | 1023237674 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | 916013490 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 619 | $67518.29 | 1700885076 - TH HEALTHCARE, LTD, NACOGDOCHES MEDICAL CENTER | 760354630 | TX | General Acute Care Hospital (282N00000X) |
United | 619 | $49232.41 | 1467560128 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE SOUTH SUBURBAN HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 619 | $47509.26 | 1154321115 - FLOWER HOSPITAL, FLOWER MEMORIAL HOSPITAL | 344428256 - (OH) TOLEDO HOSPITAL | OH | Psychiatric Hospital Unit (273R00000X) |
United | 619 | $83387.95 | 1649304221 - TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | Chronic Disease Hospital (281P00000X) |
United | 619 | $26051.71 | 1538208210 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 619 | $32636.21 | 1588751796 - MEMORIAL HOSPITAL, MEMORIAL HEALTHCARE | 381358208 - MEMORIAL HOSPITAL | MI | 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 619 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 619 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 619 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 |
|---|---|---|
| 618-MS-DRG | High | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC |
| 619-MS-DRG | High | O.R. Procedures for Obesity with MCC |
| 620-MS-DRG | High | O.R. Procedures for Obesity with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 619. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 619 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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