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See a sample rate comparisonMS-DRG 826 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.
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
| 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 826 by major payers:
$56,357.08
$62,298.82
$74,733.62
$76,909.07
Compare published rates across providers.
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MS-DRG 826
5 of 25 sample ratesHigher to lower in this preview
Beth Israel Medical Center, Kings Highway Division
Beth Israel Medical Center
$135,782.15Published rateFairview Health Services, Ummc, Fairview (Psych Unit)
Fairview Health Services
$86,288.50Published rateTyler Regional Hospital LLC
$60,736.12Published rateFloyd Cherokee Medical Center LLC
$45,819.46Published rateMonmouth Medical Center Inc, Monmouth Medical Center Southern Campus
$12,990.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 826 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 826 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 826 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 |
|---|---|---|
| 825-MS-DRG | High | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC |
| 826-MS-DRG | High | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC |
| 827-APR-DRG | Moderate | Eye Infections And Other Eye Disorders |
| 827-MS-DRG | High | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES 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 826. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 826 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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