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See a sample rate comparisonMS-DRG 808 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.
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders |
| 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
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MS-DRG 808
5 of 25 sample ratesHigher to lower in this preview
Peacehealth, St. Joseph Medical Center
Peacehealth St Joseph Medical Center
$70,195.39Published rateAbraham Lincoln Memorial Hospital
Memorial Health System
$43,650.71Published rateUofl Health-Louisville Inc
$26,095.67Published rateMemorial Hospital Of Texas County Authority, Memorial Hospital Of Texas County Authority - Swing Bed
$17,577.60Published rateCleveland Tennessee Hospital Company LLC, Skyridge Medical Center
$2,772.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 808 vs. Other Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders Codes
The MS-DRG 808 code is part of the Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders 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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