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See a sample rate comparisonMS-DRG 814 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.
RETICULOENDOTHELIAL AND IMMUNITY 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 814 by major payers:
$22,193.51
$26,076.27
$32,698.30
$33,202.34
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MS-DRG 814
5 of 25 sample ratesHigher to lower in this preview
Dlp Central Carolina Medical Center LLC, Central Carolina Hospital
$47,984.69Published rateFranciscan Health Indianapolis & Mooresville, Franciscan Health - Inpatient Rehab Unit
$39,456.10Published rateNorthwestern Lake Forest Hospital, Northwestern Medicine Lake Forest Hospital
Northwestern Memorial Healthcare
$33,157.42Published rateChelan County Public Hospital District No. 1, Cascade Medical Center
Chelan County Public Hospital District No 1
$26,268.00Published rateOktibbeha County Hospital, Och Regional Medical Center
Oktibbeha County Hospital
$2,368.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 814 vs. Other Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders Codes
The MS-DRG 814 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 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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