MS-DRG 653 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 653 by major payers:
$61,298.76
$71,815.56
$87,039.90
$89,517.27
| 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 653 | ||||||
United | 653 | $124308.00 | 1801457510 - ADVENTHEALTH POLK NORTH INC, ADVENTHEALTH HEART OF FLORIDA | 841793121 | FL | General Acute Care Hospital (282N00000X) |
United | 653 | $65557.95 | 1700998697 - HOLY FAMILY MEMORIAL INC, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL | 390806395 - HOLY FAMILY MEMORIAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 653 | $86455.18 | 1578506762 - CITRUS HMA LLC, BRAVERA HEALTH SEVEN RIVERS | 200195256 | FL | General Acute Care Hospital (282N00000X) |
United | 653 | $121208.29 | 1619176997 - PROVIDENCE HEALTH & SERVICES WASHINGTON | 910567732 | WA | General Acute Care Hospital (282N00000X) |
United | 653 | $86455.18 | 1578506762 - CITRUS HMA LLC, BRAVERA HEALTH SEVEN RIVERS | 200195256 | FL | General Acute Care Hospital (282N00000X) |
United | 653 | $133734.65 | 1275732661 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | General Acute Care Hospital (282N00000X) |
United | 653 | $5130.00 | 1962616508 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | Critical Access Hospital (282NC0060X) |
United | 653 | $66641.50 | 1558472803 - TISHOMINGO HEALTH SERVICES, INC., TISHOMINGO HEALTH SWING BED | 640741047 - TISHOMINGO HEALTH SERVICES INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 653 | $66499.39 | 1699726695 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | General Acute Care Hospital (282N00000X) |
United | 653 | $26730.00 | 1992767511 - LAVACA HOSPITAL DISTRICT, LAVACA MEDICAL CENTER | 746240037 | TX | Critical Access Hospital (282NC0060X) |
United | 653 | $47559.80 | 1780677971 - ECTOR COUNTY HOSPITAL DISTRICT, MEDICAL CENTER HOSPITAL | 752302928 | TX | Rehabilitation Hospital (283X00000X) |
United | 653 | $1873.00 | 1396770004 - HOSPITAL AUTHORITY OF WASHINGTON COUNTY, WASHINGTON COUNTY REGIONAL MEDICAL CENTER | 586012329 - (GA) HOSPITAL AUTHORITY OF WASHINGTON COUNTY | GA | Rural Acute Care Hospital (282NR1301X) |
United | 653 | $98469.72 | 1891870812 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 653 | $22210.59 | 1376671370 - ASHE MEMORIAL HOSPITAL INC | 560603900 - ASHE MEMORIAL HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
United | 653 | $121274.97 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | 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 653 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 653 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 653 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 |
|---|---|---|
| 652-MS-DRG | High | Kidney Transplant |
| 653-MS-DRG | High | Major Bladder Procedures with MCC |
| 654-MS-DRG | High | Major Bladder Procedures with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 653. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 653 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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