MS-DRG 901 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 | • Injuries, Poisonings & Toxic Effects of Drugs |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 901 by major payers:
$48,557.43
$58,114.93
$69,160.65
$71,139.10
| 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 901 | ||||||
United | 901 | $31308.50 | 1639263189 - LASALLE PARISH HOSPITAL SERVICE DIST NO1, HARDTNER MEDICAL CENTER | 720652984 - (LA) HARDTNER MEDICAL CENTER | LA | Critical Access Hospital (282NC0060X) |
United | 901 | $101980.28 | 1346314192 - SENTARA HOSPITALS, SENTARA NORFOLK GENERAL REHABILITATION UNIT | 541547408 - SENTARA HOSPITALS | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 901 | $59226.92 | 1003951195 - CHESTER COUNTY HOSPITAL SPU | 230469150 - (PA) CHESTER COUNTY HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 901 | $50879.85 | 1952307027 - NORTON HOSPITALS, INC, NORTON AUDUBON HOSPITAL | 610703799 - (KY) NORTON HOSPITALS INC | KY | General Acute Care Hospital (282N00000X) |
United | 901 | $68721.14 | 1487253449 - VANDERBILT BEDFORD HOSPITAL, LLC, VANDERBILT BEDFORD HOSPITAL | 853419620 | TN | General Acute Care Hospital (282N00000X) |
United | 901 | $84180.03 | 1023472842 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 901 | $54712.23 | 1528052578 - LECONTE MEDICAL CENTER | 621114867 - (TN) LECONTE MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 901 | $49874.30 | 1033114277 - SEDAN CITY HOSPITAL | 481146144 - (KS) SEDAN CITY HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 901 | $34465.10 | 1215937982 - SELECT SPECIALTY HOSPITAL | 251813119 | TN | Long Term Care Hospital (282E00000X) |
United | 901 | $183023.95 | 1164458196 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL-SWING BED UNIT | 934580630 | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 901 | $73555.15 | 1720003312 - NASSAU HEALTHCARE CORPORATION, NUMC DEPARTMENT OF PATHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 901 | $45801.10 | 1033228168 - ST FRANCIS HEALTH LLC, ST FRANCIS HOSPITAL | 475259919 - (GA) ST FRANCIS HEALTH LLC | GA | General Acute Care Hospital (282N00000X) |
United | 901 | $94378.50 | 1073547154 - INDIANA UNIVERSITY HEALTH BLOOMINGTON INC, IU HEALTH BLOOMINGTON | 351720796 - (IN) INDIANA UNIVERSITY HEALTH BLOOMINGON INC | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 901 | $66998.02 | 1538174347 - LCMC HEALTH HOLDINGS INC, EAST JEFFERSON GENERAL HOSPITAL | 621596506 | LA | General Acute Care Hospital (282N00000X) |
United | 901 | $94901.31 | 1811217243 - ST FRANCIS HOSPITAL | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | 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 901 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 901 code is part of the Injuries, Poisonings & Toxic Effects of Drugs 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 901 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 |
|---|---|---|
| 901-MS-DRG | High | Wound Debridements for Injuries with MCC |
| 902-APR-DRG | Moderate | Major Larynx & Trachea Procedures |
| 902-MS-DRG | High | Wound Debridements for Injuries with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 901 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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