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MS-DRG 845 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.

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
Key FactDetail
Service Type

Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 845 by major payers:

bcbs

$10,578.51

uhc

$12,349.41

aetna

$13,313.20

cigna

$13,726.85

Compare published rates across providers.

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MS-DRG 845
5 of 25 sample ratesHigher to lower in this preview
  1. Vhs Acquisition Subsidiary Number 9 Inc, Metrowest Medical Center

    Vhs Acquisition Subsidiary Number 9 Inc

    MAGeneral Acute Care HospitalNPI 1740252592Tax ID 62-1861200

    $27,238.67Published rate
  2. New Hanover Regional Medical Center

    NCPsychiatric HospitalNPI 1538239397Tax ID 85-3777599

    $18,627.16Published rate
  3. Scott County Hospital

    KSCritical Access HospitalNPI 1144263443Tax ID 48-0812417

    $11,827.04Published rate
  4. Resilience Healthcare, Louis A. Weiss Memorial Hospital

    ILPsychiatric Hospital UnitNPI 1912473927Tax ID 35-2637418

    $8,929.49Published rate
  5. Highlands Hospital And Health Center, Penn Highlands Connellsville

    Highlands Hospital And Health Center

    PAGeneral Acute Care HospitalNPI 1144215039Tax ID 25-1494705

    $2,533.00Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
844-APR-DRGHighPARTIAL THICKNESS BURNS W/O SKIN GRAFT
844-MS-DRGHighOTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
845-MS-DRGHighOTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
846-MS-DRGHighCHEMOTHERAPY 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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