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See a sample rate comparisonMS-DRG 870 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.
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
| 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 870 by major payers:
$73,593.46
$85,478.97
$106,065.50
$106,907.90
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MS-DRG 870
5 of 25 sample ratesHigher to lower in this preview
Children'S Hospital
Childrens Hospital
$221,251.48Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$153,043.00Published rateSaint Thomas Stones River Hospital, LLC, Ascension Saint Thomas Stones River
$111,123.13Published ratePresence Chicago Hospitals Network, Presence Saint Joseph Hospital-Chicago
Presence Chicago Hospitals Network
$88,785.81Published rateManchester Memorial Hospital
$5,226.00Published rate
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See a sample payer proposalMS-DRG 870 vs. Other Infectious & Parasitic Diseases, Systemic or Unspecified Sites Codes
The MS-DRG 870 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 870 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 |
|---|---|---|
| 869-MS-DRG | High | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC |
| 870-MS-DRG | High | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS |
| 871-MS-DRG | High | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 870 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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