MS-DRG 830 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 830 by major payers:
$17,196.50
$19,242.95
$23,098.35
$23,931.19
| 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 830 | ||||||
United | 830 | $27138.14 | 1750940987 - UCH-MHS, MEMORIAL HEALTH SYSTEM | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 830 | $9140.62 | 1821524034 - OZARKS COMMUNITY HOSPITAL, INC., OZARKS COMMUNITY HOSPITAL OF SPRINGFIELD | 431592082 - SGOH ACQUISITION INC | MO | Psychiatric Hospital (283Q00000X) |
United | 830 | $33982.64 | 1376529743 - MORTON PLANT HOSPITAL ASSOCIATION INC, MORTON PLANT HOSPITAL | 590624462 - (FL) MORTON PLANT HOSPITAL ASSOCIATION INC | FL | General Acute Care Hospital (282N00000X) |
United | 830 | $12478.04 | 1629026364 - ADVOCATE SHERMAN HOSPITAL, SHERMAN FAMILY HEALTHCARE | 362167920 - (IL) ADVOCATE SHERMAN HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 830 | $38098.12 | 1356687735 - CENTRAL VALLEY PERFUSION, INC | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 830 | $26352.78 | 1083617120 - ESSENTIA HEALTH VIRGINIA, LLC, ESSENTIA HEALTH VIRGINIA | 460909870 | MN | General Acute Care Hospital (282N00000X) |
United | 830 | $25845.30 | 1700625100 - LEE HEALTH SYSTEM INC | 992646504 | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 830 | $9011.13 | 1497983936 - KINDRED DEVELOPMENT 17, LLC, KINDRED HOSPITAL MELBOURNE | 203329727 - (FL) KINDRED DEVELOPMENT 17 LLC | FL | Long Term Care Hospital (282E00000X) |
United | 830 | $33641.89 | 1083815872 - ALAMEDA HEALTH SYSTEM, HIGHLAND GENERAL HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 830 | $38098.12 | 1356687735 - CENTRAL VALLEY PERFUSION, INC | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 830 | $6504.00 | 1962442012 - LONG BEACH MEMORIAL MEDICAL | 953527031 - (CA) LONG BEACH MEMORIAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 830 | $40206.41 | 1710683354 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 830 | $39538.80 | 1699705426 - TENET HOSPITALS LIMITED, DOCTORS HOSPITAL AT WHITE ROCK LAKE | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 830 | $23361.98 | 1194797472 - WHITE COUNTY COMMUNITY HOSPITAL LLC, HIGHLANDS MEDICAL CENTER | 474063406 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 830 | $27483.30 | 1932584802 - HOLY CROSS HOSPITAL | 590791028 - HOLY CROSS HOSPITAL INC | FL | Rehabilitation Hospital (283X00000X) |
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 830 vs. Other Pregnancy, Childbirth & the Puerperium Codes
The MS-DRG 830 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 830 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 |
|---|---|---|
| 829-APR-DRG | Moderate | Eye Infections And Other Eye Disorders |
| 829-MS-DRG | High | Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC |
| 830-MS-DRG | High | Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC |
| 831-MS-DRG | High | Other Antepartum Diagnoses without O.R. Procedures 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 830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 830 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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