MS-DRG 814 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 814 by major payers:
$22,193.51
$26,076.27
$32,698.30
$33,202.34
| 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 814 | ||||||
United | 814 | $5185.00 | 1619308319 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL MURPHY | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 814 | $41582.14 | 1144203662 - TOPS SPECIALTY HOSPITAL, LTD., TOPS SURGICAL SPECIALTY HOSPITAL | 760246499 - (TX) TOPS SPECIALTY HOSPITAL LTD | TX | General Acute Care Hospital (282N00000X) |
United | 814 | $33682.87 | 1598724924 - MERCY MEDICAL CENTER | 111635088 - (NY) MERCY MEDICAL CENTER | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 814 | $36656.51 | 1811150618 - ST CLOUD HOSPITAL, CENTRACARE ST CLOUD HOSPITAL ADOLESCENT ADDICTION SERVICES | 410695596 - (MN) ST CLOUD HOSPITAL | MN | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 814 | $39456.10 | 1265532915 - FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE, FRANCISCAN HEALTH - INPATIENT REHAB UNIT | 350913537 | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 814 | $40334.87 | 1518604693 - BAYCARE PASCO, INC., BAYCARE HOSPITAL WESLEY CHAPEL | 832099849 - (FL) BAYCARE PASCO INC | FL | General Acute Care Hospital (282N00000X) |
United | 814 | $12027.24 | 1770147118 - KPC PROMISE HOSPITAL OF PHOENIX LLC | 834169286 | AZ | Long Term Care Hospital (282E00000X) |
United | 814 | $28432.89 | 1790220952 - SAINT FRANCIS HOSPITAL MUSKOGEE INC, SAINT FRANCIS REGIONAL SERVICES INC | 814322087 - (OK) SAINT FRANCIS HOSPITAL MUSKOGEE INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 814 | $30257.59 | 1699130344 - INTEGRIS GROVE HOSPITAL, INTEGRIS GROVE HOSPITAL SWING BED UNIT | 730731338 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 814 | $12366.36 | 1841898293 - ARKANSAS HEART HOSPITAL LLC, ARKANSAS HEART HOSPITAL ENCORE | 561933245 - (AR) ARKANSAS HEART HOSPITAL, LLC | AR | General Acute Care Hospital (282N00000X) |
United | 814 | $45526.82 | 1619967494 - COBB HOSPITAL, INC, WELLSTAR COBB HOSPITAL INPATIENT REHAB UNIT | 580968382 - COBB HOSPITAL | GA | Rehabilitation Hospital Unit (273Y00000X) |
United | 814 | $33157.42 | 1124025176 - NORTHWESTERN LAKE FOREST HOSPITAL, NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL | 362179779 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 814 | $39628.33 | 1336109107 - SENTARA HOSPITALS, SENTARA CAREPLEX HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 814 | $36213.73 | 1154748416 - AGH LAVEEN LLC, DIGNITY HEALTH ARIZONA GENERAL HOSPITAL | 471587223 - (AZ) AGH LAVEEN LLC | AZ | General Acute Care Hospital (282N00000X) |
United | 814 | $30257.59 | 1699130344 - INTEGRIS GROVE HOSPITAL, INTEGRIS GROVE HOSPITAL SWING BED UNIT | 730731338 | OK | 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 814 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 814 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 814 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 |
|---|---|---|
| 813-APR-DRG | High | OTHER COMPLICATIONS OF TREATMENT |
| 813-MS-DRG | High | Coagulation Disorders |
| 814-MS-DRG | High | Reticuloendothelial and Immunity Disorders with MCC |
| 815-APR-DRG | High | OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 814. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 814 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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