MS-DRG 657 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 657 by major payers:
$23,586.17
$24,169.42
$28,782.12
$29,786.32
| 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 657 | ||||||
United | 657 | $11076.00 | 1306897681 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY, PROSSER MEMORIAL HOSPITAL | 916013490 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 657 | $64910.35 | 1306013388 - SAINT FRANCIS HOSPITAL, ST. FRANCIS HOSPITAL | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 657 | $31796.41 | 1881690691 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK EASTERN LONG ISLAND HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 657 | $39340.46 | 1427103589 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER, CHERRY HILL | 910373400 - (WA) SWEDISH HEALTH SERVICES | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 657 | $20076.18 | 1023182177 - ADVOCATE CHRIST MEDICAL CENTER | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 657 | $34271.62 | 1407815830 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 657 | $18288.92 | 1194829309 - ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F | 370663568 - (IL) ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THRID ORDER OF ST F | IL | Critical Access Hospital (282NC0060X) |
United | 657 | $19949.99 | 1962045625 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 657 | $13861.11 | 1871884031 - THC-SEATTLE LLC, KINDRED HOSPITAL SEATTLE - FIRST HILL | 911637321 | WA | Long Term Care Hospital (282E00000X) |
United | 657 | $35963.69 | 1962461681 - PIEDMONT HOSPITAL, INC, PIEDMONT HOSPITAL | 580566213 - (GA) PIEDMONT HEALTHCARE INC | GA | General Acute Care Hospital (282N00000X) |
United | 657 | $28628.23 | 1811904063 - OVERLAKE HOSPITAL MEDICAL CENTER | 910652651 - (WA) OVERLAKE HOSPITAL MEDICAL CENTER | WA | Psychiatric Hospital Unit (273R00000X) |
United | 657 | $28515.55 | 1619163854 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL NORTH | 743230935 | IN | General Acute Care Hospital (282N00000X) |
United | 657 | $25157.68 | 1255354700 - LEGACY MOUNT HOOD MEDICAL CENTER | 930591528 - (OR) LEGACY MOUNT HOOD MEDICAL CENTER | OR | General Acute Care Hospital (282N00000X) |
United | 657 | $3800.00 | 1215190202 - HARRIS COUNTY HOSPITAL DISTRICT BEN TAUB | 741536936 | TX | General Acute Care Hospital (282N00000X) |
United | 657 | $41406.14 | 1821216391 - DELRAY MEDICAL CENTER, INC., PINECREST REHABILITATION HOSPITAL | 752922687 | FL | 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 657 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 657 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 657 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 |
|---|---|---|
| 656-MS-DRG | High | Kidney and Ureter Procedures for Neoplasm with MCC |
| 657-MS-DRG | High | Kidney and Ureter Procedures for Neoplasm with CC |
| 658-MS-DRG | High | Kidney and Ureter Procedures for Neoplasm 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 657. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 657 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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