MS-DRG 672 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 672 by major payers:
$12,317.14
$14,312.11
$17,141.84
$17,909.96
| 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 672 | ||||||
United | 672 | $20782.66 | 1457479552 - WHEATON FRANCISCAN HEALTHCARE | 390816857 - (WI) ASCENSION SE WISCONSIN HOSPITAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 672 | $21656.93 | 1467496802 - ST FRANCIS HOSPITAL, INC., ST. FRANCIS EASTSIDE | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 672 | $8555.66 | 1164420329 - SALINA SURGICAL CENTER, LLC, SALINA SURGICAL HOSPITAL | 481199515 - (KS) SALINA SURGICAL CENTER, LLC DBA SALINA SURGICAL HOSPITAL | KS | Special Hospital (284300000X) |
United | 672 | $13573.83 | 1912978685 - MERCY HOSPITAL WALDRON | 710557895 - MERCY HOSPITAL WALDRON | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 672 | $11270.15 | 1003908666 - CENTRAL IOWA HOSPITAL CORPORATION, IOWA METHODIST MEDICAL CENTER | 420680452 - CENTRAL IOWA HOSPITAL CORPORATION | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 672 | $4660.00 | 1952777245 - CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE | 951643989 - (CA) CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE | CA | General Acute Care Hospital (282N00000X) |
United | 672 | $13967.83 | 1922846351 - SAINT JOSEPH HOSPITAL | 992115457 | IL | General Acute Care Hospital (282N00000X) |
United | 672 | $13967.83 | 1922846351 - SAINT JOSEPH HOSPITAL | 992115457 | IL | General Acute Care Hospital (282N00000X) |
United | 672 | $16876.88 | 1669461281 - INTERMOUNTAIN FRONT RANGE, INC. | 841103606 - (CO) SCL HEALTH - FRONT RANGE INC | CO | General Acute Care Hospital (282N00000X) |
United | 672 | $13751.13 | 1881056190 - MERIT HEALTH WESLEY | 522050792 | MS | General Acute Care Hospital (282N00000X) |
United | 672 | $14754.37 | 1821250762 - TARZANA MEDICAL CENTER LLC, PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER | 833972614 - (CA) TARZANA MEDICAL CENTER LLC | CA | General Acute Care Hospital (282N00000X) |
United | 672 | $41417.98 | 1467411991 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK EASTERN LONG ISLAND HOSPITAL PSYCH UNIT | 113243405 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 672 | $11587.87 | 1811924954 - NATCHEZ REGIONAL MEDICAL CENTER | 371756496 | MS | General Acute Care Hospital (282N00000X) |
United | 672 | $10841.12 | 1023109097 - DARDANELLE REGIONAL, LLC, DARDANELLE REGIONAL MEDICAL CENTER | 834538290 - (AR) DARDANELLE REGIONAL LLC | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 672 | $12915.00 | 1871665380 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | 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 672 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 672 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 672 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 |
|---|---|---|
| 671-MS-DRG | High | Urethral Procedures with CC/MCC |
| 672-MS-DRG | High | Urethral Procedures without CC/MCC |
| 673-MS-DRG | High | Other Kidney and Urological Tract 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 672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 672 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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