MS-DRG 651 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 | • Diseases & Disorders of the Kidney & Urinary Tract |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 651 by major payers:
$40,820.13
$44,896.87
$54,839.87
$57,256.49
| 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 651 | ||||||
United | 651 | $75002.32 | 1518995505 - FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER, FOUNTAIN VALLEY REGIONAL HOSPITAL | 952768729 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 651 | $75002.32 | 1518995505 - FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER, FOUNTAIN VALLEY REGIONAL HOSPITAL | 952768729 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 651 | $30596.46 | 1821465576 - LAKE SURGICAL HOSPITAL SLIDELL, LLC, SOUTHERN SURGICAL HOSPITAL | 474228147 - (LA) LAKE SURGICAL HOSPITAL SLIDELL, LLC DBA SOUTHERN SURGICAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
United | 651 | $40694.98 | 1205882669 - BRANDON HMA LLC, MERIT HEALTH RANKIN | 640885458 | MS | General Acute Care Hospital (282N00000X) |
United | 651 | $40694.98 | 1205882669 - BRANDON HMA LLC, MERIT HEALTH RANKIN | 640885458 | MS | General Acute Care Hospital (282N00000X) |
United | 651 | $35488.94 | 1558582429 - BONNER GENERAL HOSPITAL, INC | 820207116 - (ID) BONNER GENERAL HOSPITAL INC | ID | Rural Acute Care Hospital (282NR1301X) |
United | 651 | $14703.59 | 1245643576 - NEWMAN MEMORIAL COUNTY HOSPITAL, NEWMAN REGIONAL HEALTH | 486026835 | KS | Critical Access Hospital (282NC0060X) |
United | 651 | $49174.07 | 1629090402 - CARLE EUREKA HOSPITAL, ADVOCATE EUREKA HOSPITAL | 850688306 - (IL) CARLE EUREKA HOSPITAL | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 651 | $1800.00 | 1801831748 - NACOGDOCHES COUNTY HOSPITAL DISTRICT, NCHD MEMORIAL HOSPITAL | 871142127 - (TX) LION STAR NACOGDOCHES HOSPITAL, LLC DBA NACOGDOCHES MEMORIAL HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 651 | $45774.50 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 651 | $45774.50 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 651 | $47840.62 | 1740729326 - BROOKDALE HOSPITAL | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 651 | $85055.89 | 1538547823 - MCLEOD HEALTH CHERAW | 473712858 - MCLEOD HEALTH CHERAW | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 651 | $8925.75 | 1346456597 - HIGHLANDS-CASHIERS HOSPITAL | 832048950 | NC | Critical Access Hospital (282NC0060X) |
United | 651 | $75183.10 | 1235108481 - HANOVER HOSPITAL INC., CENTER FOR ACUTE REHABILITATIVE MEDICINE | 231360851 - (PA) UPMC HANOVER | PA | 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 651 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 651 code is part of the Diseases & Disorders of the Kidney & Urinary Tract 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 651 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 |
|---|---|---|
| 650-APR-DRG | High | SPLENECTOMY |
| 650-MS-DRG | High | Kidney Transplant with Hemodialysis with MCC |
| 651-MS-DRG | High | Kidney Transplant with Hemodialysis without MCC |
| 652-MS-DRG | High | Kidney Transplant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 651. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 651 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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