MS-DRG 687 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 687 by major payers:
$13,191.80
$14,272.23
$16,620.74
$17,105.86
| 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 687 | ||||||
United | 687 | $15019.91 | 1578504056 - MERCY HOSPITAL SPRINGFIELD, MERCY HOSPITAL SPRINGFIELD | 440552485 - MERCY HOSPITAL SPRINGFIELD | MO | General Acute Care Hospital (282N00000X) |
United | 687 | $16815.83 | 1912388422 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 687 | $10976.12 | 1548375082 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE CHRIST MEDICAL CENTER | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 687 | $14009.23 | 1992776421 - WHITE COUNTY COMMUNITY HOSPITAL LLC, HIGHLANDS MEDICAL CENTER | 474063406 | TN | General Acute Care Hospital (282N00000X) |
United | 687 | $6628.25 | 1639936396 - PROGRESSIVE HEALTH OF HOUSTON, LLC, PROGRESSIVE HEALTH GROUP OF HOUSTON | 990736165 - (MS) PROGRESSIVE HEALTH OF HOUSTON LLC | MS | Rural Acute Care Hospital (282NR1301X) |
United | 687 | $15158.87 | 1952326977 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | General Acute Care Hospital (282N00000X) |
United | 687 | $19812.34 | 1346291309 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | 560554230 - PRESBYTERIAN HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 687 | $15669.79 | 1518024751 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL | 474063232 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 687 | $10339.53 | 1427075027 - FLETCHER HOSPITAL INC., PARK RIDGE HEALTH, PARK RIDGE HOSPITAL | 560543246 - FLETCHER HOSPITAL INC | NC | Rural Acute Care Hospital (282NR1301X) |
United | 687 | $15816.40 | 1780624049 - JAMAICA HOSPITAL, JAMAICA HOSPITAL PATHOLOGY DEPARTMENT | 111631788 - (NY) JAMAICA HOSPITAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 687 | $18715.05 | 1134133002 - PIEDMONT NEWNAN HOSPITAL, INC. | 205077249 - (GA) PIEDMONT NEWNAN HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 687 | $30143.32 | 1396778064 - TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | 751977850 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | TX | General Acute Care Hospital (282N00000X) |
United | 687 | $11643.59 | 1467560128 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE SOUTH SUBURBAN HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 687 | $15138.87 | 1700155587 - METHODIST LE BONHEUR HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 687 | $2112.00 | 1396520862 - LAKE SURGICAL HOSPITAL SLIDELL, LLC | 474228147 - (LA) LAKE SURGICAL HOSPITAL SLIDELL, LLC DBA SOUTHERN SURGICAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
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 687 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 687 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 687 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 |
|---|---|---|
| 686-MS-DRG | High | Kidney and Urological Tract Neoplasms with MCC |
| 687-MS-DRG | High | Kidney and Urological Tract Neoplasms with CC |
| 688-MS-DRG | High | Kidney and Urological Tract Neoplasms 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 687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 687 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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