MS-DRG 808 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 | • Pregnancy, Childbirth & the Puerperium |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 808 by major payers:
$25,043.14
$28,856.28
$36,201.94
$36,336.44
| 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 808 | ||||||
United | 808 | $62864.62 | 1346802915 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN PSYCHIATRIC CARE UNIT | 753175630 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 808 | $17232.55 | 1326087966 - HOSPITAL DISTRICT NO 1 MARION CO, ST. LUKE HOSPITAL | 810657542 - (KS) ST. LUKE HOSPITAL AND LIVING CENTER | KS | Critical Access Hospital (282NC0060X) |
United | 808 | $23300.47 | 1295755676 - PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION, PALM SPRINGS GENERAL HOSPITAL, INC. | 475625607 | FL | General Acute Care Hospital (282N00000X) |
United | 808 | $55430.48 | 1063541266 - GEORGETOWN UNIVERSITY HOSPITAL | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 808 | $47940.55 | 1679545966 - COMMUNITY HEALTH NETWORK, INC., COMMUNITY HOSPITAL NORTH | 743230935 | IN | Psychiatric Hospital Unit (273R00000X) |
United | 808 | $23300.47 | 1295755676 - PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION, PALM SPRINGS GENERAL HOSPITAL, INC. | 475625607 | FL | General Acute Care Hospital (282N00000X) |
United | 808 | $29458.01 | 1669870937 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 808 | $47940.55 | 1679545966 - COMMUNITY HEALTH NETWORK, INC., COMMUNITY HOSPITAL NORTH | 743230935 | IN | Psychiatric Hospital Unit (273R00000X) |
United | 808 | $16550.40 | 1104867167 - FORT HAMILTON HOSPITAL, KETTERING HEALTH HAMILTON | 310536662 - (OH) FORT HAMILTON HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 808 | $47915.37 | 1063426823 - MEMORIAL HEALTH SYSTEMS INC, FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER | 590973502 - MEMORIAL HEALTH SYSTEMS INC | FL | General Acute Care Hospital (282N00000X) |
United | 808 | $45389.17 | 1902466840 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 808 | $58528.51 | 1285798918 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 808 | $58528.51 | 1285798918 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 808 | $13667.00 | 1386897148 - JERSEY CITY MEDICAL CENTER, LIBERTY HOSPITALIST SERVICES | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | Hospitalist Physician (208M00000X) |
United | 808 | $28406.58 | 1235567504 - MERCY HOSPITAL BOONEVILLE | 463851119 - MERCY HOSPITAL BOONEVILLE | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 808 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 808 code is part of the Pregnancy, Childbirth & the Puerperium 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 808 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 |
|---|---|---|
| 807-MS-DRG | High | Vaginal Delivery without Sterilization or D&C without CC/MCC |
| 808-MS-DRG | High | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders with MCC |
| 809-MS-DRG | High | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 808. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 808 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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