MS-DRG 876 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 | Mental Diseases & Disorders |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 876 by major payers:
$29,778.74
$48,406.60
$60,663.13
$62,125.58
| 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 876 | ||||||
United | 876 | $9250.67 | 1598012783 - GLOBALREHAB-SCOTTSDALE, LLC, HONORHEALTH REHABILITATION HOSPITAL | 274160293 - (AZ) GLOBALREHABSCOTTSDALE LLC | AZ | Rehabilitation Hospital (283X00000X) |
United | 876 | $26820.15 | 1871584722 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS COUSHATTA RURAL HEALTH CENTER | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Critical Access Hospital Clinic/Center (261QC0050X) |
United | 876 | $2122.00 | 1114548930 - GENEVA COUNTY HEALTHCARE AUTHORITY, INC. | 636004474 - (AL) GENEVA COUNTY HEALTH CARE AUTHORITY INC DBA WIREGRASS MEDICAL CENTER | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 876 | $25542.40 | 1699705301 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL SWG | 461353294 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 876 | $25542.40 | 1699705301 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL SWG | 461353294 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 876 | $32411.33 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 351088541 | IN | General Acute Care Hospital (282N00000X) |
United | 876 | $41284.37 | 1902465065 - THIBODAUX REGIONAL HEALTH SYSTEM INC | 842046902 - (LA) THIBODAUX REGIONAL HEALTH SYSTEM INC | LA | General Acute Care Hospital (282N00000X) |
United | 876 | $181916.48 | 1649490871 - WASHINGTON HOSPITAL | 250965598 - (PA) WARREN GENERAL HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 876 | $86561.22 | 1043397292 - UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, UHCMC | 341567805 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | General Acute Care Hospital (282N00000X) |
United | 876 | $59375.62 | 1912932336 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON NORTH MEDICAL CENTER REHAB | 591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDA | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 876 | $50365.67 | 1083698849 - ST FRANCIS HEALTH CENTER, INC, ST FRANCIS HEALTH | 822034009 | KS | General Acute Care Hospital (282N00000X) |
United | 876 | $32090.89 | 1508832833 - DUPLIN GENERAL HOSPITAL INCORPORATED, VIDANT DUPLIN HOSPITAL | 566011594 - (NC) EAST CAROLINA HEALTH | NC | General Acute Care Hospital (282N00000X) |
United | 876 | $29133.25 | 1598717480 - HURLEY MEDICAL CENTER | 386005601 | MI | General Acute Care Hospital (282N00000X) |
United | 876 | $67459.43 | 1598766495 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER,INC | 720423635 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC | LA | General Acute Care Hospital (282N00000X) |
United | 876 | $29133.25 | 1598717480 - HURLEY MEDICAL CENTER | 386005601 | MI | 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 876 vs. Other Mental Diseases & Disorders Codes
The MS-DRG 876 code is part of the Mental Diseases & Disorders 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 876 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 |
|---|---|---|
| 876-MS-DRG | High | O.R. Procedures with Principal Diagnosis of Mental Illness |
| 880-MS-DRG | High | Acute Adjustment Reaction and Psychosocial Dysfunction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 876. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 876 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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