MS-DRG 645 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 645 by major payers:
$9,086.59
$10,733.38
$12,348.05
$12,735.52
| 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 645 | ||||||
United | 645 | $2500.00 | 1376580332 - CLHG-OAKDALE, LLC, OAKDALE COMMUNITY HOSPITAL | 813465783 - (LA) CLHGOAKDALE LLC | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 645 | $17882.84 | 1336172105 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 645 | $6114.58 | 1780677039 - CIBOLA GENERAL HOSPITAL CORPORATION, CIBOLA GENERAL HOSPITAL | 850141285 - (NM) CIBOLA GENERAL HOSPITAL CORPORATION | NM | Critical Access Hospital (282NC0060X) |
United | 645 | $11553.57 | 1992131734 - DIGNITY HEALTH, ST. JOSEPH'S WESTGATE MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 645 | $8551.67 | 1588290993 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | General Acute Care Hospital (282N00000X) |
United | 645 | $13630.36 | 1790868982 - MERCY HEALTH YOUNGSTOWN LLC, ST ELIZABETH BOARDMAN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | General Acute Care Hospital (282N00000X) |
United | 645 | $11446.88 | 1154991487 - CONWAY HOSPITAL, INC. | 570314381 - (SC) CONWAY HOSPITAL INC | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 645 | $9468.20 | 1811006661 - SOUTHEAST HOSPITAL, MERCY HOSPITAL SOUTHEAST | 430654874 - (MO) SOUTHEAST HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 645 | $8551.67 | 1841967502 - UOFL HEALTH-LOUISVILLE INC | 611293786 - (KY) UNIVERSITY MEDICAL CENTER INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 645 | $19980.66 | 1780134270 - HIGHLAND HOSPITAL, ALAMEDA HEALTH SYSTEM | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 645 | $4003.00 | 1841257631 - TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1, TERREBONE GENERAL REHABILITATION UNIT | 720880258 - (LA) TERREBONNE HOSPITAL SERVICE DISTRICT NO 1 | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 645 | $13698.74 | 1306992151 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER | 910433740 - (WA) SWEDISH HEALTH SERVICES | WA | General Acute Care Hospital (282N00000X) |
United | 645 | $5392.00 | 1225484751 - PROSPECT MANCHESTER HOSPITAL, INC., INPATIENT PSYCH UNIT | 812216981 | CT | Psychiatric Hospital Unit (273R00000X) |
United | 645 | $22243.09 | 1366541989 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 645 | $3867.86 | 1699844654 - KINDRED HOSPITALS LIMITED PARTNERSHIP, KINDRED HOSPITAL - DALLAS | 522085561 | TX | Long Term Care Hospital (282E00000X) |
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 645 vs. Other Endocrine, Nutritional & Metabolic Diseases & Disorders Codes
The MS-DRG 645 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 645 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 |
|---|---|---|
| 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 645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 645 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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