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See a sample rate comparisonMS-DRG 666 Fee Schedule
Last Verified: October 2026
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.
PROSTATECTOMY WITH CC
| 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 666 by major payers:
$20,028.01
$22,428.51
$25,941.40
$26,933.44
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MS-DRG 666
5 of 25 sample ratesHigher to lower in this preview
New York Presbyterian/Weill Cornell Hospital
The New York And Presbyterian Hospital
$72,530.61Published rateNovant Health Thomasville Medical Center, LLC, Thomasville Medical Center
Novant Health Thomasville Medical Center LLC
$35,011.39Published rateFranciscan Health Crown Point, Franciscan St. Anthony Health - Crown Point
Franciscan Health Crown Point
$22,382.98Published rateLehigh Valley Hospital, Schuylkill Medical Center - South Jackson Street
Lehigh Valley Hospital - Schuykill
$17,420.19Published rateMartin Luther King, Jr., Martin Luther King, Jr. Community Hospital
Martin Luther King Jr Los Angeles Healthcare Corporation
$3,982.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 666 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 666 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 666 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 |
|---|---|---|
| 665-MS-DRG | High | PROSTATECTOMY WITH MCC |
| 666-MS-DRG | High | PROSTATECTOMY WITH CC |
| 667-MS-DRG | High | PROSTATECTOMY WITHOUT CC/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 666. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 666 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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