MS-DRG 871 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 | • 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 871 by major payers:
$22,368.63
$25,558.70
$31,207.29
$31,516.18
| 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 871 | ||||||
United | 871 | $46634.71 | 1659574069 - BANNER BAYWOOD MEDICAL CENTER, JOHN J. RHODES REHABILITATION INSTITUTE | 363386394 - (AZ) BANNER BAYWOOD MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 871 | $40290.39 | 1053972760 - ADVENTHEALTH POLK SOUTH INC, ADVENTHEALTH LAKE WALES | 834672945 | FL | General Acute Care Hospital (282N00000X) |
United | 871 | $33043.41 | 1902437650 - MCHS HOSPITALS INC, MARSHFIELD MEDICAL CENTER - WESTON | 810977948 - MCHS HOSPITALS INC | WI | General Acute Care Hospital (282N00000X) |
United | 871 | $20791.33 | 1851397871 - JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC., FRAZIER REHAB INSTITUTE JEFFERSONTOWN | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 871 | $16962.35 | 1376854208 - RCHP, SHOALS HOSPITAL | 272451336 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $34578.08 | 1730194259 - MEMORIAL MEDICAL CENTER, CENTEGRA HOSPITAL WOODSTOCK | 362338884 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 871 | $23517.73 | 1053963009 - ST. JOSEPH REGIONAL HEALTH CENTER | 741282696 - ST JOSEPH REGIONAL HEALTH CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 871 | $5818.00 | 1801062310 - INDIAN RIVER MEMORIAL HOSPITAL, INC., BEHAVIORAL HEALTH CENTER | 592496294 - INDIAN RIVER MEMORIAL HOSPITAL INC | FL | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $4958.00 | 1386834547 - JOHNSTON MEMORIAL HOSPITAL, HOSPITALIST OF JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | Hospitalist Physician (208M00000X) |
United | 871 | $16962.35 | 1376854208 - RCHP, SHOALS HOSPITAL | 272451336 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $22711.31 | 1659603975 - METROPOLITAN HOSPITAL, METRO HEALTH HOSPITAL | 380593405 - METROPOLITAN HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 871 | $25800.84 | 1841497153 - GPCH, LLC, GOLDEN PLAINS COMMUNITY HOSPITAL | 260328929 - (TX) GPCH,LLC DBA GOLDEN PLAINS COMMUNITY HOSPITAL | TX | Critical Access Hospital (282NC0060X) |
United | 871 | $33229.33 | 1649355702 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 871 | $39516.69 | 1891895835 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $39516.69 | 1891895835 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | 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 871 vs. Other Infectious & Parasitic Diseases, Systemic or Unspecified Sites Codes
The MS-DRG 871 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 871 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 |
|---|---|---|
| 870-MS-DRG | High | Septicemia or Severe Septis with MV >96 Hours |
| 871-MS-DRG | High | Septicemia or Severe Septis without MV >96 Hours with MCC |
| 872-MS-DRG | High | Septicemia or Severe Septis without MV >96 Hours without 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 871. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 871 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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