MS-DRG 689 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 689 by major payers:
$13,673.03
$15,994.05
$18,722.13
$18,859.51
| 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 689 | ||||||
United | 689 | $26053.22 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 689 | $32998.94 | 1205307378 - CHEROKEE MEDICAL CENTER, CMC WOUND SERVICES | 832531807 | SC | General Acute Care Hospital (282N00000X) |
United | 689 | $25338.16 | 1730158981 - UPMC HANOVER, HANOVER HOSPITAL, INC | 231360851 - (PA) UPMC HANOVER | PA | General Acute Care Hospital (282N00000X) |
United | 689 | $14564.91 | 1902913999 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BAPTIST HLTH CTR GENERATIONS GEROPSYCH UNIT | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 689 | $7021.79 | 1013956259 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY, PROSSER MEMORIAL HOSPITAL SWING CAH | 916013490 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 689 | $6859.12 | 1871953802 - FREEDOM HOSPITAL OF MAGNOLIA, LLC, BEACHAM MEMORIAL HOSPITAL | 811097331 | MS | Rural Acute Care Hospital (282NR1301X) |
United | 689 | $31189.66 | 1184038663 - NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NJ | General Acute Care Hospital (282N00000X) |
United | 689 | $27206.91 | 1528028396 - SENTARA PRINCESS ANNE HOSPITAL, SENTARA HOSPITALS | 273208969 - (VA) SENTARA PRINCESS ANNE HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 689 | $22635.93 | 1043260482 - SAINT FRANCIS MEDICAL CENTER, OSF SAINT FRANCIS MEDICAL CENTER | 370662569 - (IL) SAINT FRANCIS MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 689 | $12284.29 | 1154308518 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 689 | $10221.00 | 1194969618 - HASAN AMIR | 161768258 | OH | Hospitalist Physician (208M00000X) |
United | 689 | $10221.00 | 1194969618 - HASAN AMIR | 161768258 | OH | Hospitalist Physician (208M00000X) |
United | 689 | $6573.89 | 1205075181 - LTAC OF LOUISIANA, LLC, LTAC OF LOUISIANA | 264203041 - (LA) LTAC OF LOUISIANA LLC | LA | Long Term Care Hospital (282E00000X) |
United | 689 | $12491.28 | 1770662512 - MEMORIAL HEALTH CARE SYSTEMS, MEMORIAL HOSPITAL | 470375220 - (NE) MEMORIAL HEALTH CARE SYSTEMS | NE | Critical Access Hospital (282NC0060X) |
United | 689 | $10425.15 | 1942392600 - THE FINLEY HOSPITAL, UNITYPOINT HEALTH - FINLEY HOSPTIAL | 420680354 - THE FINLEY HOSPITAL | IA | 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 689 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 689 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 689 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 |
|---|---|---|
| 688-MS-DRG | High | Kidney and Urological Tract Neoplasms without CC/MCC |
| 689-MS-DRG | High | Kidney and Urological Tract Infections with MCC |
| 690-APR-DRG | High | ACUTE LEUKEMIA |
| 690-MS-DRG | High | Kidney and Urological Tract Infections without 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 689. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 689 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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