MS-DRG 665 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 665 by major payers:
$35,011.40
$46,890.44
$52,984.94
$54,917.00
| 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 665 | ||||||
United | 665 | $4958.00 | 1710099742 - MOUNTAIN STATES HEALTH ALLIANCE, SYCAMORE SHOALS HOSPITAL PSYCHIATRIC UNIT | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | Psychiatric Hospital Unit (273R00000X) |
United | 665 | $51957.76 | 1801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 665 | $84658.84 | 1629071758 - BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL | 840482695 - (CO) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | CO | General Acute Care Hospital (282N00000X) |
United | 665 | $51957.76 | 1801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 665 | $99327.17 | 1023194271 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Psychiatric Hospital Unit (273R00000X) |
United | 665 | $28362.52 | 1295789907 - CAROLINAS MEDICAL CENTER | 561398929 | NC | General Acute Care Hospital (282N00000X) |
United | 665 | $35754.80 | 1952766263 - INDIANA REGIONAL MEDICAL CENTER | 250965404 - (PA) INDIANA REGIONAL MEDICAL CENTER | PA | Rural Acute Care Hospital (282NR1301X) |
United | 665 | $26589.33 | 1811913460 - RUSSELL HOSPITAL CORPORATION, RUSSELL MEDICAL CENTER | 630385130 - RUSSELL HOSPITAL CORPORATION | AL | General Acute Care Hospital (282N00000X) |
United | 665 | $22178.83 | 1417950650 - KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. | 481251730 - (KS) KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. | KS | General Acute Care Hospital (282N00000X) |
United | 665 | $43823.03 | 1487715645 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH MEDICAL CENTER | 364195126 - (IL) PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 665 | $44008.44 | 1912423260 - TOPEKA HOSPITAL, LLC, THE UNIVERSITY OF KANSAS HEALTH SYSTEM, ST. FRANCIS CAMPUS | 822034009 | KS | General Acute Care Hospital (282N00000X) |
United | 665 | $2368.00 | 1215053475 - OKTIBBEHA COUNTY HOSPITAL, OCH REGIONAL MEDICAL CENTER | 640524079 - (MS) OKTIBBEHA COUNTY HOSPITAL | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 665 | $99327.17 | 1023194271 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Psychiatric Hospital Unit (273R00000X) |
United | 665 | $31638.56 | 1528221959 - EPISCOPAL HEALTH SERVICES INC, ST JOHN'S EPISCOPAL HOSPITAL | 111665825 - (NY) EPISCOPAL HEALTH SERVICES INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 665 | $14383.41 | 1215005129 - PHC-LOS ALAMOS INC, LOS ALAMOS MEDICAL CENTER - SWING BED UNIT | 30390794 | NM | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 665 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 665 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 665 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 |
|---|---|---|
| 664-MS-DRG | High | Minor Bladder Procedures without CC/MCC |
| 665-MS-DRG | High | Prostatectomy with MCC |
| 666-MS-DRG | High | Prostatectomy with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 665 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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