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See a sample rate comparisonMS-DRG 836 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.
ACUTE LEUKEMIA WITHOUT CC/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 836 by major payers:
$16,992.06
$17,277.58
$20,155.91
$20,548.85
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MS-DRG 836
5 of 25 sample ratesHigher to lower in this preview
Scripps Health, Scripps Memorial Hospital Encinitas
Scripps Health
$42,522.69Published rateSmsj Tucson Holdings LLC, Bridges Geropsychiatric Program At St. Marys Hospital
$28,570.41Published rateSt. Joseph Health Services Of Ri, Pulmonary Group
$15,187.41Published rateMercy Hospital Perry
$10,070.29Published rateThe Hospital Authority Of Habersham County
$7,131.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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