MS-DRG 846 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 846 by major payers:
$28,075.39
$31,804.37
$40,018.25
$40,713.37
| 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 846 | ||||||
United | 846 | $102496.75 | 1659468833 - NORTHERN DUTCHESS HOSPITAL | 141338467 - (NY) NORTHERN DUTCHESS HOSPITAL | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 846 | $35720.00 | 1417005760 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH PRINCE WILLIAM MEDICAL CENTER | 540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 846 | $78156.50 | 1437575040 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Psychiatric Hospital Unit (273R00000X) |
United | 846 | $33107.46 | 1689627903 - ORO VALLEY HOSPITAL LLC, NORTHWEST TRANSITIONS | 522379881 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 846 | $33107.46 | 1689627903 - ORO VALLEY HOSPITAL LLC, NORTHWEST TRANSITIONS | 522379881 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 846 | $33726.00 | 1184262800 - SANA HEALTHCARE CARROLLTON | 843683956 - (TX) SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 846 | $50227.05 | 1073524690 - LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1, ODESSA MEMORIAL HEALTHCARE CENTER | 916001722 - (WA) LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 | WA | Critical Access Hospital (282NC0060X) |
United | 846 | $66526.49 | 1548399736 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS BEHAVIORAL HEALTH CENTER | 752918774 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 846 | $48200.42 | 1679678197 - FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE, FRANCISCAN HEALTH - MOORESVILLE | 350913537 | IN | General Acute Care Hospital (282N00000X) |
United | 846 | $4451.00 | 1992809305 - ST. VINCENT'S ST. CLAIR, LLC, ASCENSION ST. VINCENT'S ST. CLAIR | 631146531 - (AL) ST VINCENTS ST CLAIR LLC | AL | General Acute Care Hospital (282N00000X) |
United | 846 | $66526.49 | 1548399736 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS BEHAVIORAL HEALTH CENTER | 752918774 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 846 | $8451.00 | 1275305013 - TAMPA GENERAL HOSPITAL HERNANDO, LLC | 933085834 - (FL) HERNANDO HMA LLC | FL | General Acute Care Hospital (282N00000X) |
United | 846 | $13968.00 | 1881082691 - JOHN T MATHER MEMORIAL HOSPITAL | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 846 | $27315.84 | 1770515991 - GOOD SAMARITAN MEDICAL CENTER, INC., GOOD SAMARITAN MEDICAL CENTER | 752932824 | FL | General Acute Care Hospital (282N00000X) |
United | 846 | $70541.06 | 1073530879 - LAWRENCE AND MEMORIAL HOSPITAL, INC., LAWRENCE AND MEMORIAL HOSPITAL | 60646704 - (CT) LAWRENCE AND MEMORIAL HOSPITAL INC | CT | General Acute Care Hospital (282N00000X) |
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 846 vs. Other Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms Codes
The MS-DRG 846 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 846 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 |
|---|---|---|
| 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 |
| 847-MS-DRG | High | Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 846. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 846 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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