MS-DRG 837 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 837 by major payers:
$60,717.26
$62,424.23
$78,911.58
$79,456.42
| 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 837 | ||||||
United | 837 | $58559.19 | 1255302923 - LEXINGTON HOSPITAL CORPORATION, HENDERSON COUNTY COMMUNITY HOSPITAL | 421557533 | TN | General Acute Care Hospital (282N00000X) |
United | 837 | $37816.19 | 1689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS | 621682198 | TX | General Acute Care Hospital (282N00000X) |
United | 837 | $149214.56 | 1063270825 - PRISMA HEALTH-MIDLANDS, PRISMA HEALTH RICHLAND INPATIENT PEDIATRIC REHABILITATION UNIT | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | Children's Rehabilitation Hospital (283XC2000X) |
United | 837 | $119463.31 | 1316361025 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN, TEXAS HEALTH KAUFMAN MIDWIFE CARE CENTER | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 837 | $50339.71 | 1073668364 - CHILDRESS COUNTY HOSPITAL DISTRICT, CHILDRESS REGIONAL MEDICAL CENTER | 751228349 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 837 | $58559.19 | 1255302923 - LEXINGTON HOSPITAL CORPORATION, HENDERSON COUNTY COMMUNITY HOSPITAL | 421557533 | TN | General Acute Care Hospital (282N00000X) |
United | 837 | $65458.89 | 1205189172 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL OVERLOOK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 837 | $92608.15 | 1659751360 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE MILWAUKIE HOSPITAL - GERIATRIC PSYCHIATRIC UNIT | 930924302 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | Psychiatric Hospital Unit (273R00000X) |
United | 837 | $225234.31 | 1477584993 - JFK MEMORIAL HOSPITAL, INC., JOHN F. KENNEDY MEMORIAL HOSPITAL | 752919774 | CA | General Acute Care Hospital (282N00000X) |
United | 837 | $92353.17 | 1457005720 - ST LUKES | 260479484 - (FL) ST LUKES - ST VINCENTS HEALTHCAREINC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 837 | $42704.82 | 1568453389 - ATTENTUS MOULTON, LLC, LAWRENCE MEDICAL CENTER | 721589022 | AL | General Acute Care Hospital (282N00000X) |
United | 837 | $140303.18 | 1477807436 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 837 | $135399.70 | 1598746141 - MCLEOD MEDICAL CENTER-DILLON | 510473471 - MCLEOD MEDICAL CENTER DILLON | SC | General Acute Care Hospital (282N00000X) |
United | 837 | $72243.42 | 1538147749 - AGNESIAN HEALTHCARE, INC, ST AGNES HOSPITAL PHYSICAL REHAB | 390807236 - AGNESIAN HEALTHCARE INC | WI | Rehabilitation Hospital Unit (273Y00000X) |
United | 837 | $45049.19 | 1316946809 - SIOUX FALLS SPECIALTY HOSPITAL, LLP, SIOUX FALLS SURGICAL HOSPITAL, LLP | 460382492 - (SD) SIOUX FALLS SPECIALTY HOSPITAL | SD | Special Hospital (284300000X) |
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 837 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 837 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 837 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 |
|---|---|---|
| 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 |
| 838-MS-DRG | High | Chemotherapy with Acute Leukemia as Secondary Diagnosis with CC or High Dose Chemotherapy Agent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 837. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 837 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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