MS-DRG 627 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 627 by major payers:
$14,029.04
$16,333.36
$19,868.65
$20,697.70
| 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 627 | ||||||
United | 627 | $21576.84 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 627 | $54391.82 | 1790969509 - HARBORVIEW MEDICAL CENTER | 911631806 | WA | Chronic Disease Hospital (281P00000X) |
United | 627 | $2536.00 | 1124495239 - PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC, SUBURBAN COMMUNITY HOSPITAL | 472819044 | PA | General Acute Care Hospital (282N00000X) |
United | 627 | $29885.58 | 1033981667 - INTEGRIS HEALTH PONCA CITY HOSPITAL INC, INTEGRIS HEALTH PONCA CITY HOSPITAL | 932949739 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 627 | $25735.83 | 1942784715 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - DEL CITY | 352635546 - (OK) IACCEHI NW LLC | OK | General Acute Care Hospital (282N00000X) |
United | 627 | $21576.84 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 627 | $29885.58 | 1033981667 - INTEGRIS HEALTH PONCA CITY HOSPITAL INC, INTEGRIS HEALTH PONCA CITY HOSPITAL | 932949739 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 627 | $12762.75 | 1326048810 - UNC ROCKINGHAM HEALTH CARE, INC., UNC ROCKINGHAM HOSPITAL | 823745228 - (NC) UNC ROCKINGHAM HEALTH CARE INC | NC | General Acute Care Hospital (282N00000X) |
United | 627 | $12551.17 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | General Acute Care Hospital (282N00000X) |
United | 627 | $16133.96 | 1740347087 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 627 | $11479.37 | 1245321181 - DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC, RUTHERFORD REGIONAL HEALTH SYSTEM | 300811171 | NC | General Acute Care Hospital (282N00000X) |
United | 627 | $24454.97 | 1295848562 - THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION | 581588823 - THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | NC | Psychiatric Hospital Unit (273R00000X) |
United | 627 | $26426.91 | 1013130145 - BANNER HEALTH | 900412842 | AZ | General Acute Care Hospital (282N00000X) |
United | 627 | $27871.80 | 1992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | GA | General Acute Care Hospital (282N00000X) |
United | 627 | $26530.74 | 1295106870 - ST. ANTHONYS HOSPITAL, INC., ST ANTHONYS HOSPITAL | 592043026 - (FL) ST ANTHONYS HOSPITAL INC | FL | 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 627 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 627 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 627 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 |
|---|---|---|
| 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 |
| 627-MS-DRG | High | Thyroid, Parathyroid and Thyroglossal Procedures without CC/MCC |
| 628-MS-DRG | High | Other Endocrine, Nutritional and Metabolic O.R. Procedures 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 627. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 627 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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