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 | $24640.36 | 1407364847 - TYLER REGIONAL HOSPITAL LLC | 823878395 | TX | General Acute Care Hospital (282N00000X) |
United | 665 | $43400.69 | 1043457583 - MEMORIAL HERMANN REHABILITATION HOSPITAL KATY, LLC, MEMORIAL HERMANN REHABILITATION HOSPITAL KATY | 263896170 | TX | Rehabilitation Hospital (283X00000X) |
United | 665 | $5149.00 | 1134215148 - NEWBERRY COUNTY MEMORIAL HOSPITAL | 570324929 - (SC) NEWBERRY COUNTY MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | 665 | $33265.46 | 1407076631 - ST. MARY'S HEALTH CENTER | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Critical Access Hospital (282NC0060X) |
United | 665 | $114654.14 | 1548301112 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 665 | $37602.60 | 1417991159 - GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION, PERSHING MEMORIAL HOSPITAL | 430715842 - (MO) GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION | MO | Critical Access Hospital (282NC0060X) |
United | 665 | $47933.48 | 1003918210 - MUNSTER MEDICAL RESEARCH FOUNDATION INC, COMMUNITY HOSPITAL | 351107009 - (IN) MUNSTER MEDICAL RESEARCH FOUNDATION INC | IN | General Acute Care Hospital (282N00000X) |
United | 665 | $67473.49 | 1821216391 - DELRAY MEDICAL CENTER, INC., PINECREST REHABILITATION HOSPITAL | 752922687 | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 665 | $6976.00 | 1225033020 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON HEALTH SYSTEMS JACKSON MEMORIAL HOSPITA | 591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDA | FL | General Acute Care Hospital (282N00000X) |
United | 665 | $3288.00 | 1255327920 - UHS CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 665 | $3288.00 | 1255327920 - UHS CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 665 | $24640.36 | 1407364847 - TYLER REGIONAL HOSPITAL LLC | 823878395 | TX | 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 | $26589.33 | 1811913460 - RUSSELL HOSPITAL CORPORATION, RUSSELL MEDICAL CENTER | 630385130 - RUSSELL HOSPITAL CORPORATION | AL | General Acute Care Hospital (282N00000X) |
United | 665 | $25667.93 | 1447221742 - ROSWELL HOSPITAL CORPORATION, EASTERN NEW MEXICO MEDICAL CENTER | 742870118 | NM | 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 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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