Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonMS-DRG 853 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.
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Infectious & Parasitic Diseases, Systemic or Unspecified Sites |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 853 by major payers:
$57,334.53
$64,613.26
$79,418.58
$80,468.24
Compare published rates across providers.
Choose a payer to see a sample of rates for MS-DRG 853.
MS-DRG 853
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company, LLC, Valley Baptist Medical Center - Harlingen
$169,294.01Published rateTexas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$108,782.60Published rateHendricks County Hospital
$68,545.39Published rateUniversity Medical Center, Inc, Dba University Of Lousiville Hospital
University Medical Center Inc
$52,063.32Published rateThe Community Hospital Of Brazosport, Brazosport Memorial Hospital &Brazosport Regional Health System
Community Hospital Of Brazosport
$4,913.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalMS-DRG 853 vs. Other Infectious & Parasitic Diseases, Systemic or Unspecified Sites Codes
The MS-DRG 853 code is part of the Infectious & Parasitic Diseases, Systemic or Unspecified Sites 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 853 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 |
|---|---|---|
| 853-MS-DRG | High | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC |
| 854-MS-DRG | High | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES 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 853. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 853 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 853) and we'll show you how you compare in 15 minutes or less.