MS-DRG 664 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 664 by major payers:
$13,714.91
$14,766.43
$17,128.39
$17,773.03
| 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 664 | ||||||
United | 664 | $36325.55 | 1992996235 - EMANUEL MEDICAL CENTER, INC., EMANUEL FAMILY PRACTICE - COLORADO | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 664 | $33957.60 | 1699716027 - ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC., INTERMOUNTAIN HEALTH ST MARY'S REGIONAL HOSPITAL | 840425720 - (CO) ST MARYS HOSPITAL AND MEDICAL CENTER INC | CO | General Acute Care Hospital (282N00000X) |
United | 664 | $8252.91 | 1750354965 - POTTSTOWN HOSPITAL COMPANY, LLC, POTTSTOWN MEMORIAL MEDICAL CENTER | 822132538 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 664 | $17246.40 | 1396160396 - PROSPECT CHARTERCARE SJHSRI, LLC, ST. JOSEPH HEALTH CENTER | 464661337 | RI | Psychiatric Hospital Unit (273R00000X) |
United | 664 | $19010.07 | 1952326977 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | General Acute Care Hospital (282N00000X) |
United | 664 | $19557.00 | 1619928017 - WINCHESTER MEDICAL CENTER | 540505979 - VALLEY HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 664 | $14845.08 | 1396015251 - THE METHODIST HOSPITALS, INC | 350868133 - METHODIST HOSPITALS INC | IN | Psychiatric Hospital Unit (273R00000X) |
United | 664 | $23712.41 | 1942224696 - SVMC HOLDINGS, INC | 832550272 - (CT) SVMC HOLDINGS INC | CT | General Acute Care Hospital (282N00000X) |
United | 664 | $20590.71 | 1538236385 - ST VINCENT JENNINGS HOSPITAL INC, SWING BED | 743107055 - (IN) ST VINCENT CARMEL HOSPITAL INC | IN | Critical Access Hospital (282NC0060X) |
United | 664 | $18823.07 | 1891712485 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVER MED CENTER - REHAB | 113465690 | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 664 | $8503.62 | 1851343909 - VICTORIA OF TEXAS LP, DETAR HEALTHCARE SYSTEM | 621754940 | TX | General Acute Care Hospital (282N00000X) |
United | 664 | $5761.00 | 1619308319 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL MURPHY | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 664 | $9993.54 | 1780208108 - EAST OHIO HOSPITAL LLC | 851017086 - (OH) EAST OHIO HOSPITAL LLC | OH | Long Term Care Hospital (282E00000X) |
United | 664 | $32729.82 | 1780974618 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 664 | $8503.62 | 1851343909 - VICTORIA OF TEXAS LP, DETAR HEALTHCARE SYSTEM | 621754940 | TX | 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 664 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 664 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 664 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 |
|---|---|---|
| 663-APR-DRG | High | OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
| 663-MS-DRG | High | Minor Bladder Procedures with CC |
| 664-MS-DRG | High | Minor Bladder Procedures without CC/MCC |
| 665-MS-DRG | High | Prostatectomy 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 664. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 664 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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