MS-DRG 688 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 688 by major payers:
$9,584.53
$10,210.87
$11,601.16
$11,920.01
| 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 688 | ||||||
United | 688 | $16122.13 | 1578648614 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 688 | $16122.13 | 1578648614 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 688 | $12792.26 | 1609957141 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 688 | $12798.05 | 1366281750 - LEE HEALTH SYSTEM INC, GULF COAST MEDICAL CENTER | 992646504 | FL | General Acute Care Hospital (282N00000X) |
United | 688 | $8917.08 | 1023251923 - CLAIBORNE COUNTY HOSPITAL CLAIBORNE COUNTY AMBULANCE, CLAIBORNE COUNTY HOSPITAL | 464420358 - (TN) CLAIBORNE MEDICAL CENTER | TN | Rural Acute Care Hospital (282NR1301X) |
United | 688 | $9236.30 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 688 | $17272.16 | 1679029771 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-EASTSIDE | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 688 | $11362.70 | 1174551147 - NORTH BROWARD HOSPITAL DISTRICT, BROWARD HEALTH CORAL SPRINGS | 596012065 - NORTH BROWARD HOSPITAL DISTRICT | FL | General Acute Care Hospital (282N00000X) |
United | 688 | $17819.66 | 1336109107 - SENTARA HOSPITALS, SENTARA CAREPLEX HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 688 | $9242.95 | 1922177229 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER | 992171028 | IL | General Acute Care Hospital (282N00000X) |
United | 688 | $12175.25 | 1184699118 - PALOS COMMUNITY HOSPITAL | 362169179 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatric Hospital Unit (273R00000X) |
United | 688 | $8442.20 | 1841505021 - SAINT JOSEPH HEALTH SYSTEM, INC, CHI SAINT JOSEPH LONDON SNF | 611334601 - (KY) SAINT JOSEPH HEALTH SYSTEM INC | KY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 688 | $7336.14 | 1740273994 - ECTOR COUNTY HOSPITAL DISTRICT, MEDICAL CENTER HOSPITAL | 752302928 | TX | General Acute Care Hospital (282N00000X) |
United | 688 | $4893.41 | 1457730426 - CHG HOSPITAL HOUSTON, LLC, VIBRA HOSPITAL OF CLEAR LAKE | 472845145 | TX | Long Term Care Hospital (282E00000X) |
United | 688 | $8213.83 | 1508913609 - NORTH SUNFLOWER MEDICAL CENTER | 646001408 | MS | 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 688 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 688 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 688 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 |
|---|---|---|
| 687-MS-DRG | High | Kidney and Urological Tract Neoplasms with CC |
| 688-MS-DRG | High | Kidney and Urological Tract Neoplasms without CC/MCC |
| 689-MS-DRG | High | Kidney and Urological Tract Infections 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 688. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 688 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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