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 | $41440.75 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | General Acute Care Hospital (282N00000X) |
United | 674 | $18582.61 | 1942294814 - FORT SANDERS REGIONAL MEDICAL CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 674 | $48319.42 | 1023472842 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 674 | $50657.58 | 1912334517 - FAUQUIER MEDICAL CENTER LLC, FAUQUIER HOSPITAL | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 674 | $4158.00 | 1497859789 - MOUNTAIN STATES HEALTH ALLIANCE, JOHNSON COUNTY COMMUNITY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | Critical Access Hospital (282NC0060X) |
United | 674 | $31449.64 | 1548471337 - TATTNALL COMMUNITY HOSPITAL, TATTNALL COMMUNITY HOSPITAL | 300466706 | GA | Critical Access Hospital (282NC0060X) |
United | 674 | $11709.00 | 1699031674 - BARNABAS HEALTH, NEWARK BETH ISRAEL MEDICAL CENTER | 223452311 | NJ | General Acute Care Hospital (282N00000X) |
United | 674 | $13958.88 | 1871827311 - TYRONE HOSPITAL | 231440116 - (PA) TYRONE HOSPITAL | PA | Critical Access Hospital (282NC0060X) |
United | 674 | $27700.80 | 1427111046 - TOUCHETTE REGIONAL HOSPITAL, INC. | 371305510 - TOUCHETTE REGIONAL HOSPITAL INC | IL | General Acute Care Hospital (282N00000X) |
United | 674 | $19444.09 | 1467485003 - HANCOCK REGIONAL HOSPITAL, HANCOCK REGIONAL HOSPITAL | 351092610 - (IN) HANCOCK REGIONAL HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 674 | $49415.92 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 674 | $50657.58 | 1912334517 - FAUQUIER MEDICAL CENTER LLC, FAUQUIER HOSPITAL | 463107896 | VA | General Acute Care Hospital (282N00000X) |
United | 674 | $43257.10 | 1255640819 - VHS OF ARROWHEAD, INC., ABRAZO ARIZONA HEART HOSPITAL | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 674 | $19830.73 | 1295789907 - CAROLINAS MEDICAL CENTER | 561398929 | NC | General Acute Care Hospital (282N00000X) |
United | 674 | $3783.00 | 1245260660 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC., HAWKINS COUNTY MEMORIAL HOSPITAL SWING BED | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 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.
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