MS-DRG 690 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 690 by major payers:
$9,314.97
$11,483.01
$13,270.97
$13,186.09
| 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 690 | ||||||
United | 690 | $7317.93 | 1063414233 - MEMORIAL HOSPITAL, MEMORIAL HEALTHCARE | 381358208 - MEMORIAL HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 690 | $8988.05 | 1912014564 - ADVOCATE NORTH SIDE HEALTH NETWORK, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER | 363196629 - (IL) ADVOCATE NORTH SIDE HEALTH NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 690 | $13968.00 | 1932296316 - JOHN T. MATHER MEMORIAL HOSPITAL | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | Hospitalist Physician (208M00000X) |
United | 690 | $9953.84 | 1124346754 - INTEGRIS BAPTIST MEDICAL CENTER INC, INTEGRIS MENTAL HEALTH CENTER | 731034824 - (OK) INTEGRIS BAPTIST MEDICAL CENTER INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 690 | $7181.41 | 1578730537 - GRAND VIEW HOSPITAL, GRAND VIEW HEALTH MEDICAL ASSOCIATES | 231352181 - (PA) GRAND VIEW HOSPITAL | PA | Hospitalist Physician (208M00000X) |
United | 690 | $43520.12 | 1396778197 - TWIN CITIES COMMUNITY HOSPITAL, INC., TWIN CITIES COMMUNITY HOSPITAL | 752918765 - (CA) TWIN CITIES COMMUNITY HOSPITAL INC | CA | General Acute Care Hospital (282N00000X) |
United | 690 | $3713.00 | 1689682999 - BERGEN COUNTY IMPROVEMENT AUTHORITY, BERGEN NEW BRIDGE MEDICAL CENTER | 223240487 | NJ | General Acute Care Hospital (282N00000X) |
United | 690 | $11423.28 | 1275503799 - ROPER HOSPITAL, INC, ROPER REHABILITATION UNIT | 570828733 - ROPER HOSPITAL INC | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 690 | $3000.00 | 1598876732 - BROOKS | 160743301 - (NY) BROOKS-TLC HOSPITAL SYSTEM INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 690 | $12523.88 | 1982629440 - EMANATE HEALTH MEDICAL CENTER, CITRUS VALLEY MEDICAL CENTER INTER-COMMUNITY CAMPUS | 956006469 - (CA) EMANATE HEALTH MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 690 | $11442.65 | 1942205166 - CLAIBORNE MEDICAL CENTER | 464420358 - (TN) CLAIBORNE MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 690 | $8069.00 | 1770974909 - MCDONOUGH COUNTY HOSPITAL DISTRICT, MCDONOUGH DISTRICT HOSPITAL | 376016777 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 690 | $10223.45 | 1346241973 - CORNING HOSPITAL | 160393490 - (NY) CORNING HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 690 | $27214.56 | 1023028651 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC, BON SECOURS MEMORIAL REGIONAL PRO FEE SEVICES | 541744931 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC | VA | General Acute Care Hospital (282N00000X) |
United | 690 | $17625.09 | 1396751616 - SVMC HOLDINGS, INC | 832550272 - (CT) SVMC HOLDINGS INC | CT | Rehabilitation Hospital Unit (273Y00000X) |
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 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 Urological Tract Infections with MCC |
| 690-MS-DRG | High | Kidney and Urological 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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