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 | $13612.92 | 1053844761 - STEWARD TRUMBULL MEMORIAL HOSPITAL, INC. | 815457243 | OH | General Acute Care Hospital (282N00000X) |
United | 689 | $20371.41 | 1790739977 - SAINT ANTHONY MEDICAL CENTER, OSF SAINT ANTHONY MEDICAL CENTER | 362167864 | IL | General Acute Care Hospital (282N00000X) |
United | 689 | $24496.72 | 1760413777 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 689 | $15591.33 | 1144675745 - THEDACARE MEDICAL CENTER, NEW LONDON FAMILY MEDICAL CENTER, INC | 390869788 - (WI) THEDACARE MEDICAL CENTER NEW LONDON INC | WI | Critical Access Hospital (282NC0060X) |
United | 689 | $14388.83 | 1235250663 - ERLANGER MEDICAL CENTER | 883616696 - ERLANGER HEALTH | TN | Critical Access Hospital (282NC0060X) |
United | 689 | $25945.55 | 1144234428 - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | 60646813 - (CT) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | CT | Psychiatric Hospital Unit (273R00000X) |
United | 689 | $10532.70 | 1649607268 - OUR LADY OF THE ANGELS HOSPITAL, INC., OUR LADY OF THE ANGELS HOPSITAL - PSYCH | 463123178 - (LA) OUR LADY OF THE ANGELS HOSPITAL INC | LA | Psychiatric Hospital Unit (273R00000X) |
United | 689 | $23282.68 | 1366536963 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE MILWAUKIE HOSPITAL | 930924302 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | General Acute Care Hospital (282N00000X) |
United | 689 | $28075.50 | 1275732661 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | General Acute Care Hospital (282N00000X) |
United | 689 | $27729.08 | 1922305606 - ST FRANCIS COMMUNITY HOSPITAL, FRANCISCAN HEALTH SYSTEM | 911267921 - (WA) ST FRANCIS COMMUNITY HOSPITAL | WA | General Acute Care Hospital (282N00000X) |
United | 689 | $4158.00 | 1033214440 - JOHNSTON MEMORIAL HOSPITAL, JOHNSTON MEMORIAL HOSPITAL ER PHYSICIANS | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 689 | $12865.11 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 689 | $29482.19 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
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 | $12897.87 | 1790174860 - PRIME HEALTHCARE SERVICES MESQUITE LLC | 472177648 | TX | 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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