MS-DRG 668 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 668 by major payers:
$30,733.78
$38,141.44
$45,313.22
$46,934.92
| 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 668 | ||||||
United | 668 | $2893.00 | 1205846821 - SAVOY MEDICAL CENTER | 800202027 - (LA) SAVOY MEDICAL MANAGEMENT GROUP INC | LA | Rural Acute Care Hospital (282NR1301X) |
United | 668 | $6034.00 | 1114547114 - PRIME HEALTHCARE SERVICES, ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 668 | $12490.50 | 1447259627 - TYLER COUNTY HOSPITAL DISTRICT | 746067306 | TX | General Acute Care Hospital (282N00000X) |
United | 668 | $54908.23 | 1992159289 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC. AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 668 | $7264.00 | 1245216183 - MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. | 310650283 - (OH) MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED | OH | General Acute Care Hospital (282N00000X) |
United | 668 | $3949.00 | 1780680215 - RUSSELL COUNTY MEDICAL CENTER, INC, RUSSELL COUNTY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 668 | $16343.58 | 1962808733 - MERCY HOSPITAL LINCOLN | 472219204 - (MO) MERCY HOSPITAL LINCOLN | MO | Critical Access Hospital (282NC0060X) |
United | 668 | $39192.16 | 1720085137 - NAPLES COMMUNITY HOSPITAL INC, NCH HEALTHCARE SYSTEM INC | 590694358 - (FL) NAPLES COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 668 | $40828.19 | 1225202195 - CLARION HOSPITAL, INPATIENT REHAB UNIT | 251010039 - (PA) CLARION HOSPITAL | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 668 | $6034.00 | 1114547114 - PRIME HEALTHCARE SERVICES, ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 668 | $41541.80 | 1750441655 - SWEDISHAMERICAN HOSPITAL | 362222696 - SWEDISHAMERICAN HOSPITAL | IL | Psychiatric Hospital Unit (273R00000X) |
United | 668 | $58098.53 | 1063541266 - GEORGETOWN UNIVERSITY HOSPITAL | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 668 | $45488.44 | 1407815830 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 668 | $32058.89 | 1417032145 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 668 | $43116.96 | 1073653523 - MONROE CLINIC, SSM HEALTH MONROE HOSPITAL | 390808509 - THE MONROE CLINIC INC | WI | 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 668 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 668 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 668 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 |
|---|---|---|
| 667-MS-DRG | High | Prostatectomy without CC/MCC |
| 668-MS-DRG | High | Transurethral Procedures with MCC |
| 669-MS-DRG | High | Transurethral Procedures with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 668. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 668 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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