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See a sample rate comparisonMS-DRG 821 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.
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
| Key Fact | Detail |
|---|---|
| Service Type | Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 821 by major payers:
$27,613.58
$28,889.21
$35,118.06
$36,247.50
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MS-DRG 821
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Denton, Texas Health Presbyterian Hospital Denton
Texas Health Presbyterian Hospital Denton
$64,367.07Published rateProvidence Health & Services Oregon, Providence Portland Medical Center
$47,788.98Published rateClaremore Regional Hospital LLC, Claremore Regional Hospital
$31,644.56Published rateSedan City Hospital
$14,962.29Published rateBaylor County Hospital District, Seymour Hospital
$2,500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 821 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 821 code is part of the Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms 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 821 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 |
|---|---|---|
| 820-MS-DRG | High | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC |
| 821-MS-DRG | High | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC |
| 822-APR-DRG | Moderate | Eye Infections And Other Eye Disorders |
| 822-MS-DRG | High | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/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 821. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 821 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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