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 | $57632.75 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 652 | $54741.55 | 1942252705 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $94147.61 | 1124274436 - ST. MARYS HOSPITAL AND MEDICAL CENTER INC, ST. MARY'S MEDICAL CENTER | 840425720 - (CO) ST MARYS HOSPITAL AND MEDICAL CENTER INC | CO | Rehabilitation Hospital Unit (273Y00000X) |
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 | $1500.00 | 1912121120 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER, S M R M C INPATIENT REHAB | 640468873 | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $65119.82 | 1033153895 - SMDC MEDICAL CENTER, ESSENTIA HEALTH DULUTH | 411878730 - (MN) SMDC MEDICAL CENTER | MN | General Acute Care Hospital (282N00000X) |
United | 652 | $33763.89 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 652 | $67590.32 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $88081.60 | 1528101284 - DIGNITY HEALTH, ST. ROSE DOMINICAN HOSPITAL, SAN MARTIN CAMPUS | 383730230 - (NV) DIGNITY HEALTH | NV | General Acute Care Hospital (282N00000X) |
United | 652 | $59407.01 | 1790734127 - SAINT FRANCIS MEDICAL CENTER, CHILDREN'S HOSPITAL OF ILLINOIS | 370662569 - (IL) SAINT FRANCIS MEDICAL CENTER | IL | Children's Hospital (282NC2000X) |
United | 652 | $4063.00 | 1346236015 - UHS-CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 652 | $2669.00 | 1184059537 - ARNOT OGDEN MEDICAL CENTER, ST. JOSEPH'S TRANSITIONAL CARE UNIT | 160743163 - (NY) ST. JOSEPH'S HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 652 | $13786.04 | 1548832496 - PAM REHABILITATION HOSPITAL OF DAYTON LLC | 863852918 - (OH) PAM REHABILITATION HOSPITAL OF DAYTON LLC | OH | Rehabilitation Hospital (283X00000X) |
United | 652 | $35766.44 | 1881792547 - MERCY HOSPITALS EAST COMMUNITIES, MERCY HOSPITAL ST LOUIS | 430653493 - MERCY HOSPITALS EAST COMMUNITIES | MO | 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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