MS-DRG 644 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 644 by major payers:
$12,439.39
$14,048.26
$16,374.51
$16,739.26
| 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 644 | ||||||
United | 644 | $11678.70 | 1447251004 - REEDSBURG AREA MEDICAL CENTER INC | 391091432 - (WI) REEDSBURG AREA MEDICAL CENTER INC | WI | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 644 | $11648.84 | 1285621839 - MEMORIAL HOSPITAL OF LARAMIE COUNTY, CHEYENNE REGIONAL MEDICAL CENTER | 836000194 - MEMORIAL HOSPITAL OF LARAMIE COUNTY | WY | General Acute Care Hospital (282N00000X) |
United | 644 | $16322.54 | 1962149419 - REGIONS HOSPITAL | 410956618 - REGIONS HOSPITAL | MN | General Acute Care Hospital (282N00000X) |
United | 644 | $2859.00 | 1366626285 - SOUTHEAST ALABAMA MEDICAL CENTER, SAMC | 636004476 | AL | General Acute Care Hospital (282N00000X) |
United | 644 | $18262.24 | 1780429076 - LEE HEALTH SYSTEM INC, CAPE CORAL HOSPITAL | 992646504 | FL | General Acute Care Hospital (282N00000X) |
United | 644 | $19088.30 | 1427147883 - NEBRASKA METHODIST HOSPITAL, METHODIST HOSPITAL | 470376604 - NEBRASKA METHODIST HOSPITAL | NE | General Acute Care Hospital (282N00000X) |
United | 644 | $20970.78 | 1821019514 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO | 421672806 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 644 | $6196.00 | 1972664530 - BAPTIST HEALTH CARE, INC., GULF BREEZE HOSPITAL | 590657322 - BAPTIST HEALTH CARE INC | FL | General Acute Care Hospital (282N00000X) |
United | 644 | $13579.91 | 1689628794 - CATAWBA VALLEY MEDICAL CENTER | 560789196 | NC | Rehabilitation Hospital Unit (273Y00000X) |
United | 644 | $23918.03 | 1841258639 - MULTICARE HEALTH SYSTEM, MULTICARE CAPITAL MEDICAL CENTER | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 644 | $11995.83 | 1255404281 - FRANKFORD HOSPITAL | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | General Acute Care Hospital (282N00000X) |
United | 644 | $8241.00 | 1932296316 - JOHN T. MATHER MEMORIAL HOSPITAL | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | Hospitalist Physician (208M00000X) |
United | 644 | $3000.00 | 1851632616 - LANCASTER REGIONAL HOSPITAL, LP, CRESCENT MEDICAL CENTER LANCASTER | 273815440 - (TX) LANCASTER REGIONAL HOSPITAL, LP | TX | General Acute Care Hospital (282N00000X) |
United | 644 | $16770.01 | 1376521575 - LOYOLA UNIVERSITY MEDICAL CENTER, FOSTER G. MCGAW HOSPITAL | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 644 | $8106.00 | 1083728026 - FREEMAN-OAK HILL HEALTH SYSTEM, FREEMAN HEALTH SYSTEM | 431704371 - FREEMAN HEALTH SYSTEM | MO | Rehabilitation Hospital Unit (273Y00000X) |
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 644 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 644 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 644 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 |
|---|---|---|
| 643-MS-DRG | High | Endocrine Disorders with MCC |
| 644-MS-DRG | High | Endocrine Disorders with CC |
| 645-MS-DRG | High | Endocrine Disorders without CC/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 644. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 644 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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