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 | $7673.64 | 1467552471 - MERCY HEALTH, MERCY HOSPITAL FAIRFIELD | 310538532 | OH | General Acute Care Hospital (282N00000X) |
United | 687 | $10986.53 | 1396835138 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 687 | $18721.32 | 1821019514 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO | 421672806 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 687 | $18721.32 | 1821019514 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO | 421672806 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 687 | $12695.16 | 1073518593 - BOONEVILLE COMMUNITY HOSPITAL, INC., BOONEVILLE COMMUNITY HOSPITAL | 463851119 - MERCY HOSPITAL BOONEVILLE | AR | Critical Access Hospital (282NC0060X) |
United | 687 | $18878.07 | 1588697296 - WEST BOCA MEDICAL CENTER, INC., WEST BOCA MEDICAL CENTER | 752922710 | FL | General Acute Care Hospital (282N00000X) |
United | 687 | $23945.76 | 1285601237 - HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 687 | $9564.08 | 1588751796 - MEMORIAL HOSPITAL, MEMORIAL HEALTHCARE | 381358208 - MEMORIAL HOSPITAL | MI | Psychiatric Hospital Unit (273R00000X) |
United | 687 | $14477.78 | 1023003720 - KATHERINE SHAW BETHEA HOSPITAL | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 687 | $21082.98 | 1407815830 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 687 | $11004.20 | 1033228168 - ST FRANCIS HEALTH LLC, ST FRANCIS HOSPITAL | 475259919 - (GA) ST FRANCIS HEALTH LLC | GA | General Acute Care Hospital (282N00000X) |
United | 687 | $16515.81 | 1598781486 - NUMC DEPARTMENT OF NEPHROLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 687 | $8914.00 | 1700495389 - NAPLES HMA LLC, PHYSICIANS REGIONAL MEDICAL CENTER | 204401957 | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 687 | $17824.32 | 1750365375 - DEANCO HEALTHCARE LLC, MISSION COMMUNITY HOSPITAL | 272099923 - (CA) DEANCO HEALTHCARE, LLC DBA MISSION COMMUNITY HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 687 | $9303.16 | 1578730537 - GRAND VIEW HOSPITAL, GRAND VIEW HEALTH MEDICAL ASSOCIATES | 231352181 - (PA) GRAND VIEW HOSPITAL | PA | Hospitalist Physician (208M00000X) |
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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