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 | $13962.79 | 1083757926 - MUSKOGEE REGIONAL MEDICAL CENTER LLC, MUSKOGEE REGIONAL MEDICAL CENTER REHABILITATION UNIT | 814322087 - (OK) SAINT FRANCIS HOSPITAL MUSKOGEE INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $25565.63 | 1528028396 - SENTARA PRINCESS ANNE HOSPITAL, SENTARA HOSPITALS | 273208969 - (VA) SENTARA PRINCESS ANNE HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 661 | $16756.16 | 1326327016 - DUKE UNIVERSITY HEALTH SYSTEM INC, DUKE UNIVERSITY HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | General Acute Care Hospital (282N00000X) |
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 | $15455.45 | 1689739633 - ASHLAND HOSPITAL CORPORATION, KING'S DAUGHTERS MEDICAL CENTER | 610444716 - ASHLAND HOSPITAL CORPORATION | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 661 | $18133.85 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 661 | $17956.25 | 1144573189 - UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AT SOUTH CAMPUS | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 661 | $6893.02 | 1902870132 - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE, LLC, ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE | 631184846 | AZ | Rehabilitation Hospital (283X00000X) |
United | 661 | $6893.02 | 1902870132 - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE, LLC, ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE | 631184846 | AZ | Rehabilitation Hospital (283X00000X) |
United | 661 | $17956.25 | 1144573189 - UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE AT SOUTH CAMPUS | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 661 | $24726.68 | 1740233840 - MARGARETVILLE MEMORIAL HOSPITAL | 150552726 - (NY) MARGARETVILLE MEMORIAL HOSPITAL | NY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 661 | $18133.85 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 661 | $27421.50 | 1467420448 - COBB HOSPITAL, INC, WELLSTAR COBB HOSPITAL | 580968382 - COBB HOSPITAL | GA | General Acute Care Hospital (282N00000X) |
United | 661 | $27297.28 | 1992736599 - DOCTORS HOSPITAL OF MANTECA, INC., DOCTORS HOSPITAL OF MANTECA | 752918966 - (CA) DOCTORS HOSPITAL OF MANTECA INC | CA | General Acute Care Hospital (282N00000X) |
United | 661 | $27223.38 | 1275566200 - BANNER ESTRELLA MEDICAL CENTER | 900065118 - (AZ) BANNER ESTRELLA MEDICAL CENTER | AZ | 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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