MS-DRG 675 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 675 by major payers:
$20,573.96
$21,025.81
$24,668.21
$25,562.60
| 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 675 | ||||||
United | 675 | $25827.44 | 1154531630 - AVERA MCKENNAN, AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER - DIABETIC ED | 460224743 - AVERA MCKENNAN | SD | General Acute Care Hospital (282N00000X) |
United | 675 | $13239.30 | 1063422053 - VALLEY MEDICAL FACILITIES INC, VALLEY MEDICAL FACILITIES INC DBA HERITAGE VALLEY BEAVER | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 675 | $30009.49 | 1821544925 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-SENECA | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 675 | $30886.50 | 1114339918 - COMMUNITY MEMORIAL HEALTH SYSTEM, OJAI VALLEY COMMUNITY HOSPITAL | 951683892 - COMMUNITY MEMORIAL HEALTH SYSTEM | CA | Rural Acute Care Hospital (282NR1301X) |
United | 675 | $24569.16 | 1013995521 - THEDACARE MEDICAL CENTER, RIVERSIDE MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 675 | $18536.91 | 1316279003 - METROSOUTH MEDICAL CENTER, HOSPITAL | 510382045 | IL | General Acute Care Hospital (282N00000X) |
United | 675 | $45749.89 | 1336172105 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 756001743 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 675 | $27475.00 | 1750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 675 | $17522.89 | 1174512792 - TUCSON MEDICAL CENTER | 860137567 - (AZ) TUCSON MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 675 | $27475.00 | 1750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 675 | $32797.10 | 1902831621 - LAKEWOOD REGIONAL MEDICAL CENTER, INC., LAKEWOOD REGIONAL MEDICAL CENTER | 752919841 - (CA) LAKEWOOD REGIONAL MEDICAL CENTER INC | CA | Psychiatric Hospital Unit (273R00000X) |
United | 675 | $29497.00 | 1225062193 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 675 | $18961.88 | 1457306326 - MERCY HOSPITAL BERRYVILLE, MERCY HOSPITAL BERRYVILLE | 710759299 - MERCY HOSPITAL BERRYVILLE | AR | Critical Access Hospital (282NC0060X) |
United | 675 | $23859.86 | 1902858152 - CLEVELAND CLINIC HEALTH SYSTEM, HILLCREST HOSPITAL | 340714593 - CLEVELAND CLINIC HEALTH SYSTEM EAST REGION | OH | General Acute Care Hospital (282N00000X) |
United | 675 | $6319.62 | 1487699203 - WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC, WASHINGTON COUNTY HOSPITAL | 636003514 | AL | Critical Access Hospital (282NC0060X) |
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 675 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 675 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 675 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 |
|---|---|---|
| 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 |
| 682-MS-DRG | High | Renal Failure 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 675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 675 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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