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 | $14966.09 | 1154461622 - FLUSHING HOSPITAL & MEDICAL CENTER | 111631781 - FLUSHING HOSPITAL & MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 667 | $22289.26 | 1760513980 - INOVA HEALTH CARE SERVICES, INOVA FAIR OAKS HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 667 | $10617.25 | 1750486007 - WEBSTER HEALTH SERVICES, INC., WEBSTER GENERAL HOSPITAL SWING BED | 640819193 - (MS) WEBSTER HEALTH SERVICES INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 667 | $18692.59 | 1831352087 - NAPLES COMMUNITY HOSPITAL INC, NCH HEALTHCARE SYSTEM | 590694358 - (FL) NAPLES COMMUNITY HOSPITAL INC | FL | Rehabilitation Hospital (283X00000X) |
United | 667 | $12850.25 | 1275531956 - COOKEVILLE REGIONAL MEDICAL CENTER | 626002166 | TN | General Acute Care Hospital (282N00000X) |
United | 667 | $12850.25 | 1275531956 - COOKEVILLE REGIONAL MEDICAL CENTER | 626002166 | TN | 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 | $7039.00 | 1396734471 - GLENDALE ADVENTIST MEDICAL CENTER, ADVENTIST HEALTH GLENDALE | 951816017 - (CA) GLENDALE ADVENTIST MEDICAL CENTER | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 667 | $11560.69 | 1942370648 - MISSOURI DELTA MEDICAL CENTER | 430633449 - MISSOURI DELTA MEDICAL CENTER | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 667 | $20685.50 | 1225289895 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE HOLY FAMILY HOSPITAL | 352345508 | WA | 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 | $3083.17 | 1497003610 - CLAIBORNE COUNTY HOSPITAL | 460738609 | MS | Critical Access Hospital (282NC0060X) |
United | 667 | $3083.17 | 1497003610 - CLAIBORNE COUNTY HOSPITAL | 460738609 | MS | Critical Access Hospital (282NC0060X) |
United | 667 | $13437.45 | 1275235426 - EMERUS BHS SA THOUSAND OAKS LLC | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 667 | $14631.75 | 1699541870 - STATE UNIVERSITY OF IOWA, UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN | 426004813 | IA | 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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