MS-DRG 885 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 885 by major payers:
$11,182.58
$19,174.27
$22,208.69
$22,371.92
| 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 885 | ||||||
United | 885 | $21160.07 | 1801284617 - BANNER | 901074558 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 885 | $17587.71 | 1851551733 - METROHEALTH MEDICAL CENTER | 346004382 | OH | Children's Hospital (282NC2000X) |
United | 885 | $15172.50 | 1790773158 - BAPTIST HEALTH HOSPITALS, BAPTIST MEDICAL CENTER STUTTGART | 611570855 - (AR) BAPTIST HEALTH HOSPITALS | AR | General Acute Care Hospital (282N00000X) |
United | 885 | $39402.87 | 1205960903 - HARRIS METHODIST FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 885 | $9987.00 | 1710970918 - CARILION FRANKLIN MEMORIAL HOSPITAL | 540480606 - (VA) CARILION FRANKLIN MEMORIAL HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 885 | $14949.70 | 1932151487 - AMBERWELL ATCHISON ASSOCIATION, AMBERWELL ATCHISON | 480561974 - AMBERWELL ATCHISON ASSOCIATION | KS | Critical Access Hospital (282NC0060X) |
United | 885 | $34352.76 | 1821026816 - EAST COOPER COMMUNITY HOSPITAL, INC., EAST COOPER MEDICAL CENTER | 953931540 | SC | General Acute Care Hospital (282N00000X) |
United | 885 | $35510.64 | 1720011810 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 885 | $5185.00 | 1346570710 - ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL, LLC, BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL | 261578178 - (TX) ARLINGTON ORTHOPEDIC AND SPINE HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 885 | $36689.07 | 1477807436 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 885 | $48404.25 | 1861792673 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 885 | $23053.41 | 1174079271 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CENTER FOR FAMILY MEDICINE | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 885 | $21420.27 | 1003232976 - BANNER HEALTH, BANNER CASA GRANDE MEDICAL CENTER | 450233470 - BANNER HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 885 | $21886.17 | 1194179440 - BBH WBMC, LLC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 885 | $20430.74 | 1780971127 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER PSYCH | 452663071 | TX | 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 885 vs. Other Mental Diseases & Disorders Codes
The MS-DRG 885 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 885 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 |
|---|---|---|
| 884-MS-DRG | High | Organic Disturbances and Intellectual Disability |
| 885-MS-DRG | High | Psychoses |
| 886-MS-DRG | High | Behavioral and Developmental Disorders |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 885 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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