MS-DRG 845 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 845 by major payers:
$10,578.51
$12,349.41
$13,313.20
$13,726.85
| 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 845 | ||||||
United | 845 | $2533.00 | 1144215039 - HIGHLANDS HOSPITAL AND HEALTH CENTER, PENN HIGHLANDS CONNELLSVILLE | 251494705 - HIGHLANDS HOSPITAL AND HEALTH CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 845 | $18659.80 | 1053972760 - ADVENTHEALTH POLK SOUTH INC, ADVENTHEALTH LAKE WALES | 834672945 | FL | General Acute Care Hospital (282N00000X) |
United | 845 | $25364.24 | 1871883702 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 845 | $9294.33 | 1447352323 - ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F, HSHS ST. JOSEPH'S HOSPITAL -HIGHLAND | 370663568 - (IL) ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THRID ORDER OF ST F | IL | Critical Access Hospital (282NC0060X) |
United | 845 | $18313.52 | 1184691610 - CAPE CANAVERAL HOSPITAL, INC. | 592477479 - (FL) CAPE CANAVERAL HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 845 | $18659.80 | 1053972760 - ADVENTHEALTH POLK SOUTH INC, ADVENTHEALTH LAKE WALES | 834672945 | FL | General Acute Care Hospital (282N00000X) |
United | 845 | $7814.87 | 1336629385 - MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC., MCCURTAIN MEMORIAL HOSPITAL - SWING BED | 736617937 - (OK) MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 845 | $17861.50 | 1023193539 - VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, MEDICAL COLLEGE OF VIRGINIA HOSPITALS | 541848065 | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 845 | $21483.16 | 1386712925 - NEBRASKA MEDICAL CENTER, THE NEBRASKA MEDICAL CENTER - NEBRASKA MEDICINE | 911858433 - (NE) THE NEBRASKA MEDICAL CENTER | NE | Psychiatric Hospital Unit (273R00000X) |
United | 845 | $15898.78 | 1922018092 - MARYVIEW HOSPITAL LLC | 540506463 | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 845 | $14504.25 | 1548226988 - UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON, UNIVERSITY OF TEXAS MEDICAL BRANCH | 746000949 | TX | General Acute Care Hospital (282N00000X) |
United | 845 | $11827.04 | 1144263443 - SCOTT COUNTY HOSPITAL | 480812417 | KS | Critical Access Hospital (282NC0060X) |
United | 845 | $5413.43 | 1063441269 - KINDRED HOSPITALS EAST, LLC, KINDRED HOSPITAL - OCALA | 522085555 | FL | Long Term Care Hospital (282E00000X) |
United | 845 | $27238.67 | 1740252592 - VHS ACQUISITION SUBSIDIARY NUMBER 9 INC, METROWEST MEDICAL CENTER | 621861200 - (MA) VHS ACQUISITION SUBSIDIARY NUMBER 9 INC | MA | General Acute Care Hospital (282N00000X) |
United | 845 | $19217.10 | 1730245135 - TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | 752770738 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | TX | Psychiatric Hospital Unit (273R00000X) |
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 845 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 845 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 845 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 |
|---|---|---|
| 844-APR-DRG | High | PARTIAL THICKNESS BURNS W/O SKIN GRAFT |
| 844-MS-DRG | High | Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC |
| 845-MS-DRG | High | Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC |
| 846-MS-DRG | High | Chemotherapy without Acute Leukemia as Secondary Diagnosis 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 845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 845 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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