MS-DRG 670 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 670 by major payers:
$11,345.80
$12,735.32
$15,235.74
$15,790.73
| 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 670 | ||||||
United | 670 | $30526.00 | 1083623144 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | Psychiatric Hospital Unit (273R00000X) |
United | 670 | $16115.00 | 1669466561 - STATE OF CONNECTICUT, JOHN DEMPSEY HOSPITAL | 66000798 | CT | General Acute Care Hospital (282N00000X) |
United | 670 | $21181.88 | 1558408633 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT PSYCHIATRIC HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 670 | $9451.36 | 1083609150 - WASHINGTON REGIONAL MEDICAL CENTER | 710664687 - (AR) WASHINGTON REGIONAL MEDICAL CENTER | AR | General Acute Care Hospital (282N00000X) |
United | 670 | $10495.50 | 1558771063 - UNIVERSITY OF LOUISVILLE HOSPITAL | 611293786 - (KY) UNIVERSITY MEDICAL CENTER INC | KY | General Acute Care Hospital (282N00000X) |
United | 670 | $17139.05 | 1386188068 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatric Hospital Unit (273R00000X) |
United | 670 | $18235.49 | 1174768071 - BETH ISRAEL MEDICAL CENTER, KINGS HIGHWAY DIVISION | 135564934 - (NY) BETH ISRAEL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 670 | $14198.34 | 1699235374 - AHN EMERUS WESTMORELAND LLC, AHN HEMPFIELD NEIGHBORHOOD HOSPITAL | 823697883 - (PA) AHN EMERUS WESTMORELAND LLC | PA | General Acute Care Hospital (282N00000X) |
United | 670 | $20280.28 | 1558575746 - ST. JOSEPH HOSPITAL OF ORANGE, PROVIDENCE ST. JOSEPH HOSPITAL | 951643359 - (CA) ST JOSEPH HOSPITAL OF ORANGE | CA | General Acute Care Hospital (282N00000X) |
United | 670 | $13511.95 | 1225046709 - SUMMA HEALTH SYSTEM | 340714755 - SUMMA HEALTH SYSTEM | OH | Psychiatric Hospital Unit (273R00000X) |
United | 670 | $14417.50 | 1336113513 - DAVIESS COUNTY HOSPITAL, DAVIESS COMMUNITY HOSPITAL | 356001322 - (IN) DAVIESS COUNTY HOSPITAL | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 670 | $17927.01 | 1427607464 - SAINT JOSEPH HOSPITAL, INC | 840417134 - (CO) SAINT JOSEPH HOSPITAL | CO | General Acute Care Hospital (282N00000X) |
United | 670 | $18338.92 | 1851336044 - ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC., FROEDTERT WEST BEND HOSPITAL | 390806302 - (WI) ST JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC | WI | General Acute Care Hospital (282N00000X) |
United | 670 | $17939.98 | 1982629440 - EMANATE HEALTH MEDICAL CENTER, CITRUS VALLEY MEDICAL CENTER INTER-COMMUNITY CAMPUS | 956006469 - (CA) EMANATE HEALTH MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 670 | $17306.92 | 1760408801 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | Rehabilitation Hospital Unit (273Y00000X) |
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 670 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 670 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 670 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 |
|---|---|---|
| 669-MS-DRG | High | Transurethral Procedures with CC |
| 670-MS-DRG | High | Transurethral Procedures without CC/MCC |
| 671-MS-DRG | High | Urethral Procedures with 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 670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 670 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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