MS-DRG 661 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 661 by major payers:
$14,103.50
$14,359.49
$16,784.98
$17,214.06
| 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 661 | ||||||
United | 661 | $21411.80 | 1225097652 - ST. CHARLES HOSPITAL | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $19826.73 | 1841624756 - PECONIC BAY MEDICAL CENTER | 111661359 - (NY) CENTRAL SUFFOLK HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 661 | $16962.00 | 1003328113 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P., METHODIST HOSPITAL STONE OAK | 742730328 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $13217.48 | 1457395766 - THE UNITY HOSPITAL OF ROCHESTER, UNITY PHYSICIAN SERVICES | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | General Acute Care Hospital (282N00000X) |
United | 661 | $6706.00 | 1114547114 - PRIME HEALTHCARE SERVICES, ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 661 | $16191.54 | 1720814072 - BMC COMMUNITY HOSPITAL CORPORATION II | 994793550 | MA | General Acute Care Hospital (282N00000X) |
United | 661 | $17956.25 | 1144573189 - UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AT SOUTH CAMPUS | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 661 | $35945.37 | 1861559007 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $20798.91 | 1407877137 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 661 | $14134.23 | 1053375576 - BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC | 640772726 - BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | MS | General Acute Care Hospital (282N00000X) |
United | 661 | $27421.50 | 1619967494 - COBB HOSPITAL, INC, WELLSTAR COBB HOSPITAL INPATIENT REHAB UNIT | 580968382 - COBB HOSPITAL | GA | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $21409.74 | 1811739923 - INTERMOUNTAIN FRONT RANGE, INC, INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL | 841103606 - (CO) SCL HEALTH - FRONT RANGE INC | CO | General Acute Care Hospital (282N00000X) |
United | 661 | $12853.29 | 1619092780 - EAST TEXAS MEDICAL CENTER SPECIALTY HOSPITAL, EAST TEXAS MEDICAL CENTER SPECIALTY HOSPITAL | 823878395 | TX | Long Term Care Hospital (282E00000X) |
United | 661 | $15899.98 | 1346607017 - CLEVELAND CLINIC AVON HOSPITAL | 474442902 - (OH) CLEVELAND CLINIC AVON HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 661 | $25565.63 | 1528028396 - SENTARA PRINCESS ANNE HOSPITAL, SENTARA HOSPITALS | 273208969 - (VA) SENTARA PRINCESS ANNE HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
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 661 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 661 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 661 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 |
|---|---|---|
| 660-APR-DRG | High | MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
| 660-MS-DRG | High | Kidney and Ureter Procedures for Non-Neoplasm with CC |
| 661-MS-DRG | High | Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC |
| 662-APR-DRG | High | SICKLE CELL ANEMIA CRISIS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 661. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 661 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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