MS-DRG 903 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 903 by major payers:
$15,577.96
$16,314.21
$19,217.52
$19,964.57
| 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 903 | ||||||
United | 903 | $24705.06 | 1376153023 - MEMORIAL HOSPITAL AT GULFPORT, MEMORIAL SURGERY CENTER GULF SOUTH | 646010232 - GULFPORT SURGERY CLINIC, LLC | MS | General Acute Care Hospital (282N00000X) |
United | 903 | $21832.85 | 1871678458 - OSWEGO HOSPITAL | 150532220 - (NY) OSWEGO HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 903 | $34332.28 | 1447284039 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 903 | $26425.33 | 1770048217 - UCHEALTH BROOMFIELD HOSPITAL | 473393862 - (CO) UCHEALTH BROOMFIELD HOSPITAL | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 903 | $18315.44 | 1043382567 - CARITAS ST. ELIZABETH'S MEDICAL CENTER | 272473667 | MA | General Acute Care Hospital (282N00000X) |
United | 903 | $18556.13 | 1932260833 - FAIRVIEW HEALTH SERVICES, FAIRVIEW DIAGNOSTIC LABORATORY | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 903 | $5761.00 | 1831629526 - EBD BEMC BURLESON, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL GRAND PRAIRIE | 364755936 | TX | General Acute Care Hospital (282N00000X) |
United | 903 | $13379.65 | 1518042605 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 903 | $11673.41 | 1538219944 - UCHEALTH PIKES PEAK REGIONAL HOSPITAL | 824191576 - (CO) UCHEALTH PIKES PEAK REGIONAL HOSPITAL | CO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 903 | $9882.87 | 1710962014 - HOSPITAL DISTRICT NO 1 OF RICE CO | 486091484 - (KS) HOSPITAL DISTRICT NO 1 OF RICE CO | KS | Critical Access Hospital (282NC0060X) |
United | 903 | $16791.28 | 1336378132 - ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL, LLC, BUCKS COUNTY SPECIALTY HOSPITAL, LLC | 270260289 - (PA) ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL LLC | PA | General Acute Care Hospital (282N00000X) |
United | 903 | $32071.66 | 1356694400 - ORLANDO HEALTH, ARNOLD PALMER HOSPITAL | 591726273 - (FL) ORLANDO HEALTH INC | FL | Children's Hospital (282NC2000X) |
United | 903 | $21011.15 | 1902844988 - PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE | 421672810 - (CA) UNITED STATES CATHLOC CONFERENCE | CA | General Acute Care Hospital (282N00000X) |
United | 903 | $63085.98 | 1396818209 - COASTAL CAROLINA MEDICAL CENTER, INC., COASTAL CAROLINA HOSPITAL- REHABILITATION UNIT | 934580630 | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 903 | $36835.10 | 1033224704 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK SOUTHAMPTON HOSPITAL | 113243405 | 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 903 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 903 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 903 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 |
|---|---|---|
| 902-APR-DRG | Moderate | Major Larynx & Trachea Procedures |
| 902-MS-DRG | High | Wound Debridements for Injuries with CC |
| 903-MS-DRG | High | Wound Debridements for Injuries without CC/MCC |
| 904-APR-DRG | Moderate | Major Larynx & Trachea Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 903. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 903 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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