MS-DRG 880 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 880 by major payers:
$7,288.55
$13,248.11
$15,158.12
$15,593.66
| 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 880 | ||||||
United | 880 | $20834.15 | 1518042605 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 880 | $14402.04 | 1962403865 - DEKALB MEDICAL CENTER, INC., EMORY HILLANDALE HOSPITAL | 581966795 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 880 | $23071.58 | 1508859323 - PIH HEALTH GOOD SAMARITAN HOSPITAL, GOOD SAMARITAN HOSPITAL | 951656366 - (CA) PIH HEALTH GOOD SAMARITAN HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 880 | $39599.76 | 1396818209 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL- REHABILITATION UNIT | 934580630 | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 880 | $6227.70 | 1245617562 - KAPLAN GENERAL HOSPITAL, INC. | 472540179 - (LA) KAPLAN GENERAL HOSPITAL INC | LA | Critical Access Hospital (282NC0060X) |
United | 880 | $9496.84 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | General Acute Care Hospital (282N00000X) |
United | 880 | $17717.11 | 1538234638 - ATRIUM MEDICAL CENTER, MIDDLETOWN REGIONAL HOSPITAL - PSYCH | 311079309 - (OH) ATRIUM MEDICAL CENTER | OH | Psychiatric Hospital Unit (273R00000X) |
United | 880 | $10287.71 | 1750788667 - CARONDELET HEALTH NETWORK, BRIDGES GEROPSYCHIATRIC PROGRAM AT ST. MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 880 | $20612.77 | 1992910152 - BRIDGEPORT HOSPITAL | 60646554 - (CT) BRIDGEPORT HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 880 | $15204.34 | 1689948655 - DELNOR COMMUNITY HOSPITAL | 363484281 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | General Acute Care Hospital (282N00000X) |
United | 880 | $2000.00 | 1881909323 - JERSEY SHORE MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Children's Hospital (282NC2000X) |
United | 880 | $7381.22 | 1316182215 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | Rural Acute Care Hospital (282NR1301X) |
United | 880 | $10241.67 | 1720212095 - EAST TEXAS MEDICAL CENTER HENDERSON, ETMC SWING BED | 824019349 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 880 | $11623.03 | 1528387842 - DESOTO COUNTY HOSPITAL DISTRICT, DESOTO MEMORIAL HOSPITAL | 591205441 - (FL) DESOTO MEMORIAL HOSPITAL | FL | Rural Acute Care Hospital (282NR1301X) |
United | 880 | $24067.57 | 1073610473 - METROPOLITAN HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | 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 880 vs. Other Mental Diseases & Disorders Codes
The MS-DRG 880 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 880 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 |
| 881-MS-DRG | High | Depressive Neuroses |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 880 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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