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MS-DRG 699 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.

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
Key FactDetail
Service Type

Diseases & Disorders of the Kidney & Urinary Tract

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 699 by major payers:

bcbs

$12,398.54

uhc

$13,916.93

aetna

$16,193.59

cigna

$16,535.96

Compare published rates across providers.

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MS-DRG 699
5 of 25 sample ratesHigher to lower in this preview
  1. Florida Hospital Celebration Health

    Adventist Health System-Sunbelt Inc

    FLGeneral Acute Care HospitalNPI 1386189520Tax ID 59-0724459

    $28,469.49Published rate
  2. Christian Hospital Northeast- Northwest

    Christian Hospital Northeast Northwest

    MOGeneral Acute Care HospitalNPI 1639186760Tax ID 43-6057893

    $19,295.00Published rate
  3. University Hospital & Clinics, Inc., Ochsner University Hospital & Clinics

    University Hospital & Clinics Inc

    LAGeneral Acute Care HospitalNPI 1306281126Tax ID 46-2605366

    $15,552.45Published rate
  4. East Texas Medical Center Carthage, Etmc Carthage

    TXGeneral Acute Care HospitalNPI 1801975107Tax ID 82-4037220

    $10,192.86Published rate
  5. Wellmont Health System, Bristol Regional Medical Center

    Wellmont Health System

    TNGeneral Acute Care HospitalNPI 1124058615Tax ID 62-1636465

    $2,626.00Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 699 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes

The MS-DRG 699 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 699 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.

CodeComplexityDescription
698-MS-DRGHighOTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
699-MS-DRGHighOTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
700-MS-DRGHighOTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/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 699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 699 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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