MS-DRG 667 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 667 by major payers:
$12,062.91
$14,075.75
$16,314.15
$17,080.67
| 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 667 | ||||||
United | 667 | $16320.44 | 1487253449 - VANDERBILT BEDFORD HOSPITAL, LLC, VANDERBILT BEDFORD HOSPITAL | 853419620 | TN | General Acute Care Hospital (282N00000X) |
United | 667 | $10080.05 | 1942294814 - FORT SANDERS REGIONAL MEDICAL CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 667 | $12850.25 | 1275531956 - COOKEVILLE REGIONAL MEDICAL CENTER | 626002166 | TN | General Acute Care Hospital (282N00000X) |
United | 667 | $18176.97 | 1225113376 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 667 | $12913.23 | 1023069028 - SOUTHCREST LLC, SOUTHCREST HOSPITAL | 452711804 | OK | General Acute Care Hospital (282N00000X) |
United | 667 | $4904.00 | 1730468992 - NEWBERRY COUNTY MEMORIAL HOSPITAL | 570324929 - (SC) NEWBERRY COUNTY MEMORIAL HOSPITAL | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 667 | $20850.81 | 1912108002 - MISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDENCE MISSION HOSPITAL | 951643360 - (CA) MISSION HOSPITAL REGIONAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 667 | $16577.39 | 1740805423 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 667 | $20685.50 | 1225289895 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE HOLY FAMILY HOSPITAL | 352345508 | WA | General Acute Care Hospital (282N00000X) |
United | 667 | $27854.00 | 1902857386 - MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC, MOUNT SINAI HOSPITAL OF GREATER MIAMI, INC. | 590624424 - (FL) MOUNT SINAI MEDICAL CENTER OF FLORIDA INC | FL | Psychiatric Hospital Unit (273R00000X) |
United | 667 | $11373.62 | 1639264575 - CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ERLANGER MEDICAL CENTER | 883616696 - ERLANGER HEALTH | TN | General Acute Care Hospital (282N00000X) |
United | 667 | $26167.78 | 1396207221 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CENTER FOR PERIOP OPTIMIZATION | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 667 | $18079.35 | 1619934627 - ST. CLOUD HOSPITAL | 410695596 - (MN) ST CLOUD HOSPITAL | MN | Rehabilitation Hospital Unit (273Y00000X) |
United | 667 | $8932.83 | 1700827896 - COVENANT MEDICAL CENTER INC, MERCYONE WATERLOO MEDICAL CENTER | 421264647 - COVENANT MEDICAL CENTER INC | IA | General Acute Care Hospital (282N00000X) |
United | 667 | $12913.23 | 1023069028 - SOUTHCREST LLC, SOUTHCREST HOSPITAL | 452711804 | OK | 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 667 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 667 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 667 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 |
|---|---|---|
| 666-MS-DRG | High | Prostatectomy with CC |
| 667-MS-DRG | High | Prostatectomy without CC/MCC |
| 668-MS-DRG | High | Transurethral Procedures 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 667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 667 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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