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 | $16181.00 | 1124272547 - ADVOCATE CONDELL MEDICAL CENTER | 262525968 - (IL) ADVOCATE HEALTH CARE NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 675 | $18961.88 | 1457306326 - MERCY HOSPITAL BERRYVILLE, MERCY HOSPITAL BERRYVILLE | 710759299 - MERCY HOSPITAL BERRYVILLE | AR | Critical Access Hospital (282NC0060X) |
United | 675 | $39971.05 | 1356496582 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER, CHERRY HILL | 910373400 - (WA) SWEDISH HEALTH SERVICES | WA | General Acute Care Hospital (282N00000X) |
United | 675 | $17818.50 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 675 | $27049.83 | 1649209230 - PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY, VALLEY MEDICAL CENTER | 916000986 - (WA) PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY | WA | General Acute Care Hospital (282N00000X) |
United | 675 | $30553.08 | 1487640207 - DISTRICT HOSPITAL PARTNERS L P, THE GEORGE WASHINGTON UNIVERSITY HOSPITAL | 232896725 | DC | General Acute Care Hospital (282N00000X) |
United | 675 | $19934.09 | 1063402873 - NORTHWEST TEXAS HEALTHCARE SYSTEM, INC., NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 675 | $3949.00 | 1972606465 - MOUNTAIN STATES HEALTH ALLIANCE, JOHNSON CITY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | 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 | $26089.99 | 1467537886 - MERCY HEALTH SERVICES-IOWA CORP, MERCY MEDICAL CENTER-NORTH IOWA | 311373080 - MERCY HEALTH SERVICES IOWA CORP | IA | Rural Acute Care Hospital (282NR1301X) |
United | 675 | $19517.11 | 1336215482 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH HOSPITAL-ELGIN REHAB UNIT | 364195126 - (IL) PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 675 | $36422.87 | 1144251216 - PALM BEACH GARDENS COMMUNITY HOSPITAL, INC., PALM BEACH GARDENS MEDICAL CENTER | 591223933 | FL | General Acute Care Hospital (282N00000X) |
United | 675 | $22656.15 | 1558463745 - ST MARY MEDICAL CENTER INC | 352007327 - (IN) ST MARY MEDICAL CENTER INC | IN | General Acute Care Hospital (282N00000X) |
United | 675 | $20493.00 | 1578515789 - PAGE HOSPITAL | 860394148 | AZ | 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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