MS-DRG 641 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 641 by major payers:
$8,950.28
$10,767.81
$12,424.12
$12,809.76
| 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 641 | ||||||
United | 641 | $7613.95 | 1770344665 - HH HEALTH SYSTEM | 934333907 | AL | General Acute Care Hospital (282N00000X) |
United | 641 | $6403.12 | 1023062098 - HCA HEALTHONE LLC, ROSE MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 641 | $20535.97 | 1043279565 - ST. FRANCIS HOSPITAL | 112050523 - (NY) ST FRANCIS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 641 | $11965.58 | 1427616002 - NYU LANGONE HOSPITALS, NYU LANGONE HOSPITAL LONG ISLAND | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 641 | $14388.11 | 1265092126 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 641 | $15628.00 | 1144203563 - CRAWFORD LONG HOSPITAL, EMORY UNIVERSITY DBA EMORY CRAWFORD LONG HOSPITAL | 580566200 | GA | General Acute Care Hospital (282N00000X) |
United | 641 | $22210.25 | 1316361025 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN, TEXAS HEALTH KAUFMAN MIDWIFE CARE CENTER | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 641 | $2500.00 | 1104873710 - CLHG-OAKDALE, LLC, OAKDALE COMMUNITY HOSPITAL | 813465783 - (LA) CLHGOAKDALE LLC | LA | General Acute Care Hospital (282N00000X) |
United | 641 | $5927.00 | 1912918277 - JAY HOSPITAL, INC. | 592425149 - JAY HOSPITAL INC | FL | Rural Acute Care Hospital (282NR1301X) |
United | 641 | $3783.00 | 1881613909 - TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC., TAKOMA ADVENTIST HOSPITAL | 510603966 - TAKOMA REGIONAL HOSPITAL INC | TN | Rural Acute Care Hospital (282NR1301X) |
United | 641 | $11913.21 | 1902826779 - BOCA RATON REGIONAL HOSPITAL, INC., BOCA RATON COMMUNITY HOSPITAL, INC. | 591006663 - (FL) BOCA RATON REGIONAL HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 641 | $13708.01 | 1700978558 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION, ADVENTHEALTH FISH MEMORIAL | 593149293 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | FL | General Acute Care Hospital (282N00000X) |
United | 641 | $16356.25 | 1760413777 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 641 | $18156.68 | 1467469023 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, WOODHULL MEDICAL & MENTAL HEALTH CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 641 | $6635.27 | 1023435898 - DLP RUTHERFORD REGIONAL HEALTH SYSTEM LLC, RUTHERFORD REGIONAL HEALTH SYSTEM | 300811171 | NC | 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 641 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 641 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 641 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 |
|---|---|---|
| 640-APR-DRG | High | NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
| 640-MS-DRG | High | Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC |
| 641-MS-DRG | High | Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC |
| 642-MS-DRG | High | Inborn and Other Disorders of Metabolism |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 641 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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