MS-DRG 621 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 621 by major payers:
$18,955.63
$20,812.97
$25,305.05
$25,027.53
| 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 621 | ||||||
United | 621 | $42976.92 | 1548291883 - TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | 752890358 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | TX | General Acute Care Hospital (282N00000X) |
United | 621 | $21899.23 | 1740233782 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN MEMORIAL CITY HOSPITAL | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 621 | $32542.58 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 621 | $4089.00 | 1760569784 - ASHTABULA COUNTY MEDICAL CENTER | 340726081 - (OH) ASHTABULA COUNTY MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 621 | $4958.00 | 1891801734 - MOUNTAIN STATES HEALTH ALLIANCE, SYCAMORE SHOALS HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | General Acute Care Hospital (282N00000X) |
United | 621 | $18729.98 | 1780837435 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 621 | $13657.21 | 1245701531 - MONROE HEALTH SERVICES, INC. | 320583236 - MONROE HEALTH SERVICES INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 621 | $21532.31 | 1982733655 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 621 | $11671.19 | 1811951429 - HONORHEALTH, HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 621 | $75645.22 | 1205605409 - SOUTH CAROLINA COASTAL MEDICAL CENTER LLC | 934580630 | SC | General Acute Care Hospital (282N00000X) |
United | 621 | $1800.00 | 1669403192 - NACOGDOCHES COUNTY HOSPITAL DISTRICT, NACOGDOCHES MEMORIAL HOSPITAL | 871142127 - (TX) LION STAR NACOGDOCHES HOSPITAL, LLC DBA NACOGDOCHES MEMORIAL HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 621 | $29623.38 | 1447806443 - NOVANT HEALTH ROWAN MEDICAL CENTER LLC, NOVANT HEALTH ROWAN MEDICAL CENTER | 560547479 - (NC) ROWAN REGIONAL MEDICAL CENTER, INC. | NC | General Acute Care Hospital (282N00000X) |
United | 621 | $39332.64 | 1538522412 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 621 | $7131.31 | 1215005129 - PHC-LOS ALAMOS INC, LOS ALAMOS MEDICAL CENTER - SWING BED UNIT | 30390794 | NM | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 621 | $23990.02 | 1790701787 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF CARDIOLOGY, FPP | 113465690 | NY | 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 621 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 621 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 621 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 |
|---|---|---|
| 620-MS-DRG | High | O.R. Procedures for Obesity with CC |
| 621-MS-DRG | High | O.R. Procedures for Obesity without CC/MCC |
| 622-APR-DRG | High | NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
| 622-MS-DRG | High | Skin Grafts and Wound Debridement 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 621. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 621 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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