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See a sample rate comparisonMS-DRG 690 Fee Schedule
Last Verified: October 2026
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.
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
| 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 690 by major payers:
$9,314.97
$11,483.01
$13,270.97
$13,186.09
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MS-DRG 690
5 of 25 sample ratesHigher to lower in this preview
Twin Cities Community Hospital, Inc., Twin Cities Community Hospital
Twin Cities Community Hospital Inc
$43,520.12Published rateSvmc Holdings, Inc
Svmc Holdings Inc
$17,625.09Published rateEmanate Health Medical Center, Citrus Valley Medical Center Inter-Community Campus
Emanate Health Medical Center
$12,523.88Published rateAdvocate North Side Health Network, Advocate Illinois Masonic Medical Center
Advocate North Side Health Network
$8,988.05Published rateBrooks
Brooks-Tlc Hospital System Inc
$3,000.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 690 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 690 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 690 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 |
|---|---|---|
| 689-MS-DRG | High | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC |
| 690-MS-DRG | High | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC |
| 693-MS-DRG | High | URINARY STONES 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 690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 690 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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