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See a sample rate comparisonMS-DRG 667 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 WITHOUT CC/MCC
| 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
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MS-DRG 667
5 of 25 sample ratesHigher to lower in this preview
Amisub Of South Carolina, Inc., Piedmont Medical Center
Amisub Of South Carolina Inc
$31,951.16Published rateCarondelet Health Network, St Mary'S Hospital
$18,176.97Published rateVanderbilt University Medical Center, Vanderbilt Wilson County Hospital
Vanderbilt University Medical Center
$14,993.65Published rateCookeville Regional Medical Center
$12,850.25Published rateNewberry County Memorial Hospital
$4,904.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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