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 | $33229.33 | 1649355702 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 871 | $21358.55 | 1871977751 - GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION, MACNEAL HOSPITAL | 363332852 - (IL) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 871 | $24526.25 | 1801902713 - SAMARITAN MEDICAL CENTER | 150533577 - (NY) SAMARITAN MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $30441.98 | 1134489925 - PUBLIC HOSPITAL DISTRICT 1 OF SNOHOMISH COUNTY, EVERGREENHEALTH MONROE | 916018764 | WA | General Acute Care Hospital (282N00000X) |
United | 871 | $29670.88 | 1790722825 - UNIVERSITY HEALTHCARE SYSTEM, L.C., LAKEVIEW REGIONAL BEHAVIORAL HEALTH | 621596506 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $15773.50 | 1235167750 - JEFFERSON COUNTY MEMORIAL HOSPITAL, INC, FW HUSTON MEDICAL CENTER | 480576046 - (KS) JEFFERSON COUNTY MEMORIAL HOSPITAL INC | KS | Critical Access Hospital (282NC0060X) |
United | 871 | $25750.59 | 1053481861 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Psychiatric Hospital Unit (273R00000X) |
United | 871 | $16064.26 | 1326002049 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | General Acute Care Hospital (282N00000X) |
United | 871 | $49955.07 | 1790264497 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES, MCP | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 871 | $41773.10 | 1598868655 - GENESIS HEALTHCARE SYSTEM | 311480941 - (OH) GENESIS HEALTHCARE SYSTEM | OH | General Acute Care Hospital (282N00000X) |
United | 871 | $54032.30 | 1699716027 - ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC., INTERMOUNTAIN HEALTH ST MARY'S REGIONAL HOSPITAL | 840425720 - (CO) ST MARYS HOSPITAL AND MEDICAL CENTER INC | CO | General Acute Care Hospital (282N00000X) |
United | 871 | $37036.94 | 1013407865 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - ARVADA | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 871 | $30441.98 | 1134489925 - PUBLIC HOSPITAL DISTRICT 1 OF SNOHOMISH COUNTY, EVERGREENHEALTH MONROE | 916018764 | WA | General Acute Care Hospital (282N00000X) |
United | 871 | $79282.25 | 1396818209 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL- REHABILITATION UNIT | 300151925 - (SC) COASTAL CAROLINA MEDICAL CENTER INC | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 871 | $8383.00 | 1770520462 - THE MIRIAM HOSPITAL | 50258905 - THE MIRIAM HOSPITAL | RI | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 871) and we'll show you how you compare in 15 minutes or less.