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See a sample rate comparisonMS-DRG 657 Fee Schedule
Last Verified: October 2026
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.
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
| 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
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MS-DRG 657
5 of 25 sample ratesHigher to lower in this preview
Saint Francis Hospital, St. Francis Hospital
Peo Mid-Hudson Valley Staffco
$64,910.35Published ratePiedmont Hospital, Inc, Piedmont Hospital
Piedmont Healthcare Inc
$35,963.69Published rateLegacy Mount Hood Medical Center
$25,157.68Published rateSt Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F
St Josephs Hospital Of The Hospital Sisters Of The Thrid Order Of St F
$18,288.92Published rateHarris County Hospital District Ben Taub
$3,800.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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