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See a sample rate comparisonMS-DRG 625 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.
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH 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 625 by major payers:
$32,130.72
$36,751.14
$44,609.32
$46,266.86
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MS-DRG 625
5 of 25 sample ratesHigher to lower in this preview
Mckee Medical Center
$97,118.21Published rateMedstar, Georgetown University Hospital
Medstar-Georgetown Medical Center Inc
$57,118.37Published rateCannon County Hospital LLC, Stones River Hospital
$45,799.05Published rateErlanger Health
$35,250.98Published ratePana Community Hospital Association
$9,986.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 625 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 625 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 625 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 |
|---|---|---|
| 624-MS-DRG | High | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC |
| 625-MS-DRG | High | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC |
| 626-APR-DRG | High | NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
| 626-MS-DRG | High | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 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 625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 625 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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