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See a sample rate comparisonMS-DRG 675 Fee Schedule
Last Verified: October 2026
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.
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
| 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
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MS-DRG 675
5 of 25 sample ratesHigher to lower in this preview
St. Marys Hospital And Medical Center Inc, St. Mary'S Medical Center
St Marys Hospital And Medical Center Inc
$47,981.14Published rateSt Jude Hospital Inc, Providence St. Jude Medical Center
St Jude Hospital
$36,916.03Published rateMercy Health Services-Iowa Corp, Mercy Medical Center-North Iowa
Mercy Health Services Iowa Corp
$26,089.99Published rateMercy Hospital Berryville, Mercy Hospital Berryville
Mercy Hospital Berryville
$18,961.88Published rateMountain States Health Alliance, Johnson City Medical Center
Mountain States Health Alliance
$3,949.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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 URINARY TRACT PROCEDURES WITH CC |
| 675-MS-DRG | High | OTHER KIDNEY AND URINARY 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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