MS-DRG 669 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 669 by major payers:
$17,294.16
$21,109.75
$24,304.01
$25,179.46
| 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 669 | ||||||
United | 669 | $23025.25 | 1053301754 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM | 233069260 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 669 | $25493.51 | 1154461622 - FLUSHING HOSPITAL & MEDICAL CENTER | 111631781 - FLUSHING HOSPITAL & MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 669 | $33704.55 | 1013589738 - STEWARD PGH, INC., PSYCH | 862724926 | FL | Psychiatric Hospital (283Q00000X) |
United | 669 | $34450.44 | 1285719385 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 669 | $23967.67 | 1558309401 - LUTHERAN HOSPITAL | 340714684 - (OH) LUTHERAN HOSPITAL | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 669 | $37124.53 | 1730330838 - PROVIDENCE HEALTH & SERVICES-WA | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 669 | $6034.00 | 1285064907 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 669 | $11128.07 | 1184630519 - JERSEY COMMUNITY HOSPITAL | 376013958 | IL | General Acute Care Hospital (282N00000X) |
United | 669 | $44521.57 | 1245299726 - GARNET HEALTH MEDICAL CENTER, ORANGE REGIONAL MEDICAL CENTER | 141364536 - (NY) GARNET HEALTH MEDICAL CENTER | NY | Psychiatric Hospital (283Q00000X) |
United | 669 | $31456.23 | 1366536963 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE MILWAUKIE HOSPITAL | 930924302 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | General Acute Care Hospital (282N00000X) |
United | 669 | $50485.26 | 1659546125 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Psychiatric Hospital Unit (273R00000X) |
United | 669 | $17815.00 | 1851639280 - PALISADES MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 669 | $17130.83 | 1487218509 - SMSJ TUCSON HOLDINGS, LLC, CARONDELET MARANA HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 669 | $20029.59 | 1114903523 - BRIM HEALTHCARE OF TEXAS LLC | 264178850 | TX | General Acute Care Hospital (282N00000X) |
United | 669 | $18057.64 | 1427098391 - BRANDON HMA LLC, MERIT HEALTH RANKIN | 640885458 | MS | Psychiatric Hospital Unit (273R00000X) |
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 669 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 669 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 669 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 |
|---|---|---|
| 668-MS-DRG | High | Transurethral Procedures with MCC |
| 669-MS-DRG | High | Transurethral Procedures with CC |
| 670-MS-DRG | High | Transurethral Procedures 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 669. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 669 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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