MS-DRG 674 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 674 by major payers:
$27,945.50
$31,183.63
$36,227.37
$37,439.75
| 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 674 | ||||||
United | 674 | $52169.96 | 1063489342 - THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS | 311538725 - (PA) PENNSYLVANIA HOSPITAL OF THE UNIV OF PENNSYLVANIA HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 674 | $36890.75 | 1770742959 - UNIVERSITY PHYSICIANS HEALTHCARE, UNIVERSITY PHYSICIANS HEALTHCARE | 901074558 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 674 | $36890.75 | 1770742959 - UNIVERSITY PHYSICIANS HEALTHCARE, UNIVERSITY PHYSICIANS HEALTHCARE | 901074558 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 674 | $5130.00 | 1104989474 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | General Acute Care Hospital (282N00000X) |
United | 674 | $32788.51 | 1396109500 - GOTTLIEB MEMORIAL HOSPITAL | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 674 | $5185.00 | 1689002651 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL KELLER | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 674 | $29870.69 | 1134767882 - HUNTSVILLE COMMUNITY HOSPITAL, INC. | 843654542 - (TX) HUNTSVILLE COMMUNITY HOSPITAL INC | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 674 | $41440.75 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | General Acute Care Hospital (282N00000X) |
United | 674 | $41440.75 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | General Acute Care Hospital (282N00000X) |
United | 674 | $37738.35 | 1750381281 - LAWRENCE GENERAL HOSPITAL | 42103586 - LAWRENCE GENERAL HOSPITAL | MA | General Acute Care Hospital (282N00000X) |
United | 674 | $4534.00 | 1013328681 - HUNTERDON MEDICAL CENTER, HUNTERDON MEDICAL SLEEP CENTER | 221537688 - HUNTERDON MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 674 | $21253.43 | 1306921887 - DELTA HEALTH SYSTEM, DELTA REGIONAL MEDICAL CENTER | 640586958 - (MS) DELTA HEALTH SYSTEM | MS | Rural Acute Care Hospital (282NR1301X) |
United | 674 | $240193.64 | 1235318692 - UNIVERSITY OF CALIFORNIA IRVINE, UCI MEDICAL CENTER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 674 | $21829.78 | 1205859766 - WATAUGA MEDICAL CENTER INC, WATAUGA MEDICAL CENTER | 560510824 - (NC) WATAUGA MEDICAL CENTER INC | NC | General Acute Care Hospital (282N00000X) |
United | 674 | $50173.07 | 1003986423 - MIAMI VALLEY HOSPITAL, MIAMI VALLEY HOSPITAL - PSYCH | 310537504 - (OH) MIAMI VALLEY HOSPITAL | OH | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 674 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 674 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 674 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 |
|---|---|---|
| 673-MS-DRG | High | Other Kidney and Urological Tract Procedures with MCC |
| 674-MS-DRG | High | Other Kidney and Urological Tract Procedures with CC |
| 675-MS-DRG | High | Other Kidney and Urological Tract 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 674. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 674 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 674) and we'll show you how you compare in 15 minutes or less.