MS-DRG 666 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 666 by major payers:
$20,028.01
$22,428.51
$25,941.40
$26,933.44
| 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 666 | ||||||
United | 666 | $39746.62 | 1528028396 - SENTARA PRINCESS ANNE HOSPITAL, SENTARA HOSPITALS | 273208969 - (VA) SENTARA PRINCESS ANNE HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 666 | $18976.90 | 1427166602 - UPMC WASHINGTON, WASHINGTON HOSPITAL-REHABILITATION UNIT | 250965600 - (PA) WASHINGTON HOSPITAL | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 666 | $19448.85 | 1346499910 - VIRGINIA HOSPITAL CENTER ARLINGTON | 540505989 - (VA) VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 666 | $23109.33 | 1346377413 - J. ARTHUR DOSHER MEMORIAL HOSPITAL | 560845824 - (NC) J ARTHUR DOSHER MEMORIAL HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 666 | $21968.98 | 1356777502 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST INPATIENT REHAB CENTER | 232238976 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 666 | $44182.23 | 1831529049 - ALAMEDA HEALTH SYSTEM, ALAMEDA HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 666 | $39518.73 | 1649615220 - PROVIDENCE HEALTH & SERVICES-WA, PROVIDENCE REGIONAL MEDICAL CENTER EVERETT | 352346161 | WA | Hospitalist Physician (208M00000X) |
United | 666 | $13775.53 | 1710683354 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 666 | $16507.24 | 1083614028 - ELLSWORTH COUNTY MEDICAL CENTER | 481135075 - (KS) ELLSWORTH COUNTY MEDICAL CENTER | KS | Critical Access Hospital (282NC0060X) |
United | 666 | $20546.76 | 1093712911 - AUBURN COMMUNITY HOSPITAL | 150532054 - AUBURN COMMUNITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 666 | $22382.98 | 1427114883 - FRANCISCAN HEALTH CROWN POINT, FRANCISCAN ST. ANTHONY HEALTH - CROWN POINT | 352074283 - (IN) FRANCISCAN HEALTH CROWN POINT | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 666 | $13629.46 | 1912085184 - ALEGENT HEALTH IMMANUEL MEDICAL CENTER, CHI HEALTH IMMANUEL | 470376615 - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER | NE | General Acute Care Hospital (282N00000X) |
United | 666 | $27546.96 | 1306857974 - CATHOLIC HEALTH INITIATIVES COLORADO, ST. MARY-CORWIN HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | General Acute Care Hospital (282N00000X) |
United | 666 | $12190.20 | 1245216852 - CHRISTIAN UNITY HOSPITAL CORPORATION, UNITY MEDICAL CENTER | 450310159 - (ND) CHRISTIAN UNITY HOSPITAL CORPORATION | ND | Critical Access Hospital (282NC0060X) |
United | 666 | $16198.75 | 1336818707 - PREFERRED HOSPITAL LEASING SHAMROCK, INC., SHAMROCK GENERAL HOSPITAL | 871082346 | TX | Critical Access Hospital (282NC0060X) |
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 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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