MS-DRG 658 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 658 by major payers:
$19,822.17
$19,790.85
$24,022.77
$24,778.96
| 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 658 | ||||||
United | 658 | $25392.02 | 1720282049 - LEHIGH VALLEY HOSPITAL | 231689692 - LEHIGH VALLEY HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 658 | $37208.96 | 1801064274 - DANBURY HOSPITAL | 60646597 - DANBURY HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 658 | $43270.07 | 1609875772 - GARNET HEALTH MEDICAL CENTER, ORANGE REGIONAL MEDICAL CENTER | 141364536 - (NY) GARNET HEALTH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 658 | $37924.85 | 1396001780 - UNIVERSITY OF COLORADO HOSPITAL | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 658 | $9904.00 | 1538100029 - COLUMBIA-ALLEGHANY REGIONAL HOSPITAL INC, LEWISGALE HOSPITAL ALLEGHANY | 541761046 - COLUMBIA/ALLEGHANY REGIONAL HOSPITAL, INCORPORATED | VA | General Acute Care Hospital (282N00000X) |
United | 658 | $5761.00 | 1831629526 - EBD BEMC BURLESON, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL GRAND PRAIRIE | 364755936 | TX | General Acute Care Hospital (282N00000X) |
United | 658 | $33785.85 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 658 | $26894.52 | 1154349371 - PROVIDENCE HEALTH SYSTEM | 421672806 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 658 | $17849.47 | 1598905762 - CENTRAL IOWA HOSPITAL CORPORATION, UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDICAL CENTER | 420680452 - CENTRAL IOWA HOSPITAL CORPORATION | IA | General Acute Care Hospital (282N00000X) |
United | 658 | $21651.58 | 1104192590 - EINSTEIN MEDICAL CENTER MONTGOMERY | 204193243 - (PA) ALBERT EINSTEIN HEALTHCARE NETWORK | PA | General Acute Care Hospital (282N00000X) |
United | 658 | $24411.33 | 1942287362 - OCHSNER CLINIC FOUNDATION, OCHSNER FOUNDATION HOSPITAL PSYCH | 720502505 - (LA) OCHSNER CLINIC FOUNDATION | LA | Psychiatric Hospital Unit (273R00000X) |
United | 658 | $38591.14 | 1396764353 - ALAMEDA HEALTH SYSTEM, HIGHLAND GENERAL HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 658 | $1500.00 | 1790864023 - UNIVERSITY OF MISS MEDICAL CENTER, UNIVERSITY OF MS MEDICAL CENTER | 640468873 | MS | General Acute Care Hospital (282N00000X) |
United | 658 | $3308.00 | 1689727588 - CREEK NATION HOSPITAL AND CLINICS BOARD, CREEK NATION COMMUNITY HOSP-OKEMAH INDIAN HEALTH | 731357965 - MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH | OK | General Acute Care Hospital (282N00000X) |
United | 658 | $11399.08 | 1316182215 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | Rural Acute Care Hospital (282NR1301X) |
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 658 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 658 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 658 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 |
|---|---|---|
| 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 |
| 659-MS-DRG | High | Kidney and Ureter Procedures for Non-Neoplasm 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 658. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 658 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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