MS-DRG 836 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 | • 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 836 by major payers:
$16,992.06
$17,277.58
$20,155.91
$20,548.85
| 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 836 | ||||||
United | 836 | $12555.79 | 1225088966 - OAKWOOD HEALTHCARE, INC., COREWELL HEALTH TAYLOR HOSPITAL REHABILITATION | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 836 | $14968.84 | 1033163407 - ST JOSEPH HEALTH SYSTEM LLC, LUTHERAN DOWNTOWN HOSPITAL | 510382045 | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 836 | $10070.29 | 1063117158 - MERCY HOSPITAL PERRY | 923065473 | MO | Critical Access Hospital (282NC0060X) |
United | 836 | $28167.60 | 1992747125 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN HOSPITAL REHABILITATION UNIT | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 836 | $28636.16 | 1972613305 - UPMC PINNACLE HOSPITALS, UPMC PINNACLE WEST SHORE | 251778644 - (PA) UPMC PINNACLE HOSPITALS | PA | General Acute Care Hospital (282N00000X) |
United | 836 | $15187.41 | 1508901448 - ST. JOSEPH HEALTH SERVICES OF RI, PULMONARY GROUP | 464661337 | RI | General Acute Care Hospital (282N00000X) |
United | 836 | $13786.04 | 1922178789 - SCOTTISH RITE CHILDRENS MEDICAL CTR, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE | 580572465 - CHILDRENS HEALTHCARE OF ATLANTA INC | GA | Children's Hospital (282NC2000X) |
United | 836 | $7603.87 | 1285718478 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | 370673512 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 836 | $10070.29 | 1063117158 - MERCY HOSPITAL PERRY | 923065473 | MO | Critical Access Hospital (282NC0060X) |
United | 836 | $19754.30 | 1164410593 - USC ARCADIA HOSPITAL, METHODIST HOSPITAL OF SOUTHERN CALIFORNIA | 951643336 - (CA) USC ARCADIA HOSPITAL | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 836 | $20298.16 | 1255712766 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 836 | $7131.00 | 1689736282 - THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY | 922451946 | GA | Rural Acute Care Hospital (282NR1301X) |
United | 836 | $28633.94 | 1346250594 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE ST PETER HOSPITAL | 910567732 | WA | General Acute Care Hospital (282N00000X) |
United | 836 | $28570.41 | 1720454341 - SMSJ TUCSON HOLDINGS LLC, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARYS HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 836 | $36087.10 | 1083885917 - ALAMEDA HEALTH SYSTEM, JOHN GEORGE PAVILION | 943302014 | CA | Psychiatric Hospital (283Q00000X) |
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 836 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 836 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 836 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 |
|---|---|---|
| 835-MS-DRG | High | Acute Leukemia with CC |
| 836-MS-DRG | High | Acute Leukemia without CC/MCC |
| 837-MS-DRG | High | Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent 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 836. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 836 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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