MS-DRG 810 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 810 by major payers:
$11,896.81
$13,170.44
$15,182.67
$15,474.97
| 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 810 | ||||||
United | 810 | $21858.08 | 1215296884 - TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | 451502252 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | TX | General Acute Care Hospital (282N00000X) |
United | 810 | $3775.00 | 1669513941 - SHRINERS HOSPITALS FOR CHILDREN | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | TX | Children's Hospital (282NC2000X) |
United | 810 | $9340.96 | 1033114608 - MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL, LLP, MEMORIAL HERMANN SURGICAL HOSPITAL FIRST COLONY | 352167462 - (TX) MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL LLP | TX | General Acute Care Hospital (282N00000X) |
United | 810 | $5185.00 | 1548236524 - NORTH CENTRAL SURGICAL CENTER L.L.P. | 201508140 - (TX) NORTH CENTRAL SURGICAL CENTER LLP | TX | General Acute Care Hospital (282N00000X) |
United | 810 | $8402.92 | 1629021845 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, NORTH AUSTIN MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 810 | $8402.92 | 1629021845 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, NORTH AUSTIN MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 810 | $10339.53 | 1003340639 - POST ACUTE MEDICAL REHABILITATION HOSPITAL OF CORPUS CHRISTI, LLC, PAM REHABILITATION HOSPITAL OF CORPUS CHRISTI | 371795725 | TX | Rehabilitation Hospital (283X00000X) |
United | 810 | $13325.20 | 1447317896 - BUTLER HEALTHCARE PROVIDERS, BUTLER MEMORIAL HOSPITAL | 250965274 - (PA) BUTLER HEALTHCARE PROVIDERS | PA | General Acute Care Hospital (282N00000X) |
United | 810 | $18880.85 | 1427083153 - LAKEWOOD REGIONAL MEDICAL CENTER, INC., LAKEWOOD REGIONAL MEDICAL CENTER | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 810 | $21894.25 | 1669673463 - ALAMEDA HEALTH SYSTEM, HIGHLAND GENERAL HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 810 | $48795.53 | 1841240959 - RUSH COUNTY MEMORIAL HOSPITAL | 486075805 - (KS) RUSH COUNTY MEMORIAL HOSPITAL | KS | Rural Acute Care Hospital (282NR1301X) |
United | 810 | $13090.11 | 1962600072 - KATHERINE SHAW BETHEA HOSPITAL | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 810 | $14073.32 | 1942208137 - MERIDIAN HOSPITALS CORPORATION, JERSEY SHORE UNIVERSITY MEDICAL CENTER- PSYCH CENTER | 340714755 - SUMMA HEALTH SYSTEM | NJ | Psychiatric Hospital Unit (273R00000X) |
United | 810 | $31851.03 | 1841233780 - SCRIPPS HEALTH, SCRIPPS GREEN HOSPITAL | 951684089 - SCRIPPS HEALTH | CA | General Acute Care Hospital (282N00000X) |
United | 810 | $3385.00 | 1831330075 - JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
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 810 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 810 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 810 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 |
|---|---|---|
| 809-MS-DRG | High | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders with CC |
| 810-MS-DRG | High | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulation Disorders without CC/MCC |
| 811-APR-DRG | High | ALLERGIC REACTIONS |
| 811-MS-DRG | High | Red Blood Cell Disorders 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 810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 810 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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