MS-DRG 700 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 700 by major payers:
$9,073.93
$9,874.68
$11,192.61
$11,435.40
| 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 700 | ||||||
United | 700 | $8235.99 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 700 | $16375.86 | 1447962287 - INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | 731089149 - (OK) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | OK | General Acute Care Hospital (282N00000X) |
United | 700 | $6304.02 | 1740893320 - THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO | 310537486 - (OH) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | OH | General Acute Care Hospital (282N00000X) |
United | 700 | $7222.54 | 1154517803 - SEMINOLE HMA, LLC, ALLIANCEHEALTH SEMINOLE | 455055149 - (OK) ST ANTHONY SHAWNEE HOSPITAL INC | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 700 | $10818.57 | 1740291491 - THE MONROE CLINIC, INC., SSM HEALTH MONROE HOSPITAL | 390808509 - THE MONROE CLINIC INC | WI | General Acute Care Hospital (282N00000X) |
United | 700 | $15850.90 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 700 | $15850.90 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 700 | $17288.18 | 1902396708 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - COMMERCE CITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 700 | $8190.00 | 1639197395 - HOLY CROSS HOSPITAL INC, HOLY CROSS HOSPITAL | 590791028 - HOLY CROSS HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 700 | $17731.05 | 1902804552 - THE CHAMBERSBURG HOSPITAL, WELLSPAN CHAMBERSBURG HOSPITAL | 230465970 - CHAMBERSBURG HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 700 | $9718.79 | 1831233642 - WESTMORELAND REGIONAL HOSPITAL | 250965612 - EXCELA HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 700 | $3934.61 | 1841361862 - HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE, JEFFERSON HOSPITAL SWING BED | 581309961 - (GA) HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE | GA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 700 | $9938.86 | 1568618379 - DLP HAYWOOD REGIONAL MEDICAL CENTER LLC, HAYWOOD REGIONAL MEDICAL CENTER BEHAVIORAL HEALTH UNIT | 300830918 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 700 | $6716.00 | 1245216183 - MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. | 310650283 - (OH) MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED | OH | General Acute Care Hospital (282N00000X) |
United | 700 | $9525.83 | 1659725901 - BBH PBMC, LLC, PRINCETON BAPTIST MEDICAL CENTER | 474775351 | AL | Psychiatric Hospital Unit (273R00000X) |
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 700 vs. Other Diseases & Disorders of the Kidney & Urinary Tract Codes
The MS-DRG 700 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 700 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 |
|---|---|---|
| 699-MS-DRG | High | Other Kidney and Urological Tract Diagnoses with CC |
| 700-MS-DRG | High | Other Kidney and Urological 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 700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 700 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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