MS-DRG 652 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 652 by major payers:
$41,502.78
$39,428.56
$48,430.45
$50,610.60
| 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 652 | ||||||
United | 652 | $54741.55 | 1942252705 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $8299.00 | 1467797522 - MILLER CHILDREN'S HOSPITAL CENTER, LONG BEACH MEMORIAL MEDICAL CENTER | 953527031 - (CA) LONG BEACH MEMORIAL MEDICAL CENTER | CA | Children's Hospital (282NC2000X) |
United | 652 | $36085.85 | 1669690764 - CLEARFIELD HOSPITAL | 251490707 - DUBOIS REGIONAL MEDICAL CENTER | PA | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $57632.75 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 652 | $35674.30 | 1063650034 - UNITY HEALTHCARE | 420680337 - UNITY HEALTHCARE | IA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 652 | $52923.28 | 1528312717 - PRESBYTERIAN HEALTHCARE SERVICES | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NM | General Acute Care Hospital (282N00000X) |
United | 652 | $5226.00 | 1457399198 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 652 | $4818.00 | 1255327920 - UHS CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $4818.00 | 1255327920 - UHS CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $107542.00 | 1902463243 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $2954.00 | 1801826912 - WELLMONT HEALTH SYSTEM, LONESOME PINE HOSPITAL | 621636465 - WELLMONT HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 652 | $9788.48 | 1477759462 - HOSPITAL AUTHORITY OF WILKES COUNTY, WILLS MEMORIAL HOSPITAL | 586001920 - (GA) HOSPITAL AUTHORITY OF WILKES COUNTY D/B/A WILLS MEMORIAL & NURSING HOM | GA | Critical Access Hospital (282NC0060X) |
United | 652 | $1518.00 | 1811092117 - MENA HOSPITAL COMMISSION, MENA REGIONAL HEALTH SYSTEM PSYCH UNIT | 710708660 - (AR) MENA HOSPITAL COMMISSION | AR | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $60472.55 | 1184731507 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, UVA HEALTH SCIENCES CENTER | 546001796 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA | VA | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $6034.00 | 1740469535 - PRIME HEALTHCARE CENTINELA LLC, CENTINELA HOSPITAL MEDICAL CENTER | 261150758 - (CA) PRIME HEALTHCARE CENTINELA LLC | CA | 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 652 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 652 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 652 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 |
|---|---|---|
| 651-APR-DRG | High | OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
| 651-MS-DRG | High | Kidney Transplant with Hemodialysis without MCC |
| 652-MS-DRG | High | Kidney Transplant |
| 653-MS-DRG | High | Major Bladder 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 652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 652 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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