MS-DRG 684 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 684 by major payers:
$8,336.69
$9,355.10
$10,025.24
$10,195.61
| 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 684 | ||||||
United | 684 | $14521.11 | 1154980118 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 684 | $8395.46 | 1679511463 - MARYMOUNT HOSPITAL INC, MARYMOUNT HOSPITAL | 340714458 - (OH) MARYMOUNT HOSPITAL INC | OH | Psychiatric Hospital Unit (273R00000X) |
United | 684 | $11534.53 | 1861417362 - ASCENSION SE WISCONSIN HOSPITAL, INC, ASCENSION SE WISCONSIN HOSPITAL-ELMBROOK CAMPUS | 390816857 - (WI) ASCENSION SE WISCONSIN HOSPITAL INC | WI | Rehabilitation Hospital Unit (273Y00000X) |
United | 684 | $5080.89 | 1790873297 - ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER | 370661244 - (IL) ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 684 | $27281.00 | 1649299827 - BARNES JEWISH HOSPITAL, BARNES-JEWISH HOSPITAL | 237309937 - BARNES JEWISH HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 684 | $6565.99 | 1679555148 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS COUSHATTA HEALTH CARE CENTER | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 684 | $14113.54 | 1376574632 - SOUTH FLORIDA BAPTIST HOSPITAL, INC., SOUTH FLORIDA BAPTIST SKILLED NURSING UNIT | 590594631 - (FL) SOUTH FLORIDA BAPTIST HOSPITAL INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 684 | $4622.31 | 1992341473 - MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | 843730625 - (KS) MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | KS | Special Hospital (284300000X) |
United | 684 | $21534.82 | 1033224704 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK SOUTHAMPTON HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 684 | $8957.33 | 1427064641 - CLINTON MEMORIAL HOSPITAL OF WILMINGTON CLINTON COUNTY OHIO, CMH REGIONAL HEALTH SYSTEM | 273633811 | OH | Rural Acute Care Hospital (282NR1301X) |
United | 684 | $8171.54 | 1114079019 - CITIZENS BAPTIST MEDICAL CENTER, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 684 | $13366.66 | 1578944021 - INTEGRIS BAPTIST MEDICAL CENTER | 731034824 - (OK) INTEGRIS BAPTIST MEDICAL CENTER INC | OK | Women's Hospital (282NW0100X) |
United | 684 | $5745.60 | 1417913419 - WHITE RIVER HEALTH SYSTEM, INC., STONE COUNTY MEDICAL CENTER | 710411459 - WHITE RIVER HEALTH SYSTEM INC | AR | Critical Access Hospital (282NC0060X) |
United | 684 | $6647.95 | 1538110556 - DUPONT HOSPITAL LLC, DUPONT HOSPITAL | 621801445 - (IN) DUPONT HOSPITAL LLC | IN | General Acute Care Hospital (282N00000X) |
United | 684 | $4445.20 | 1770147118 - KPC PROMISE HOSPITAL OF PHOENIX LLC | 834169286 | AZ | Long Term Care Hospital (282E00000X) |
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 684 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 684 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 684 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 |
|---|---|---|
| 683-MS-DRG | High | Renal Failure with CC |
| 684-MS-DRG | High | Renal Failure without CC/MCC |
| 686-MS-DRG | High | Kidney and Urological Tract Neoplasms 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 684. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 684 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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