MS-DRG 906 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 906 by major payers:
$21,102.50
$27,355.42
$33,682.45
$35,041.19
| 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 906 | ||||||
United | 906 | $106407.78 | 1609970011 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK - PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Psychiatric Hospital (283Q00000X) |
United | 906 | $31731.66 | 1912908567 - DEKALB MEDICAL CENTER, INC., EMORY DECATUR HOSPITAL | 581966795 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital Unit (273Y00000X) |
United | 906 | $5392.00 | 1649417643 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 906 | $42128.80 | 1295848562 - THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION | 581588823 - THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | NC | Psychiatric Hospital Unit (273R00000X) |
United | 906 | $12222.00 | 1598761314 - ELK REGIONAL HEALTH CENTER, INC. | 250585280 - (PA) ELK REGIONAL HEALTH CENTER | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 906 | $17645.96 | 1811942238 - KPH-CONSOLIDATION, INC., HCA HOUSTON HEALTHCARE NORTH CYPRESS A CAMPUS OF HCA HOUSTON HEALTHCAR | 621619857 | TX | General Acute Care Hospital (282N00000X) |
United | 906 | $36685.55 | 1144203662 - TOPS SPECIALTY HOSPITAL, LTD., TOPS SURGICAL SPECIALTY HOSPITAL | 760246499 - (TX) TOPS SPECIALTY HOSPITAL LTD | TX | General Acute Care Hospital (282N00000X) |
United | 906 | $47207.48 | 1750301636 - SOUTHCOAST HOSPITALS GROUP,INC, CHARLTON MEMORIAL HOSPITAL - REHAB | 222592333 - SOUTHCOAST HOSPITALS GROUP INC | MA | Rehabilitation Hospital Unit (273Y00000X) |
United | 906 | $25211.56 | 1003235896 - , MARICOPA INTEGRATED HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 906 | $19186.98 | 1972542264 - GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER DAVENPORT | 421418847 - GENESIS HEALTH SYSTEM | IA | General Acute Care Hospital (282N00000X) |
United | 906 | $5392.00 | 1649417643 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 906 | $30560.65 | 1497780084 - LOS ALAMITOS MEDICAL CENTER, INC., LOS ALAMITOS MEDICAL CENTER | 752919839 - (CA) LOS ALAMITOS MEDICAL CENTER INC | CA | Psychiatric Hospital Unit (273R00000X) |
United | 906 | $23386.41 | 1063412005 - GARDENA HOSPITAL LP, MEMORIAL HOSPITAL OF GARDENA | 760594558 - (CA) MEMORIAL HOSPITAL OF GARDENA | CA | General Acute Care Hospital (282N00000X) |
United | 906 | $13748.17 | 1023050101 - RUSSELL COUNTY COMMUNITY HOSPITAL LLC, JACK HUGHSTON MEMORIAL HOSPITAL | 331058243 - (AL) JACK HUGHSTON MEMORIAL HOSPITAL | AL | General Acute Care Hospital (282N00000X) |
United | 906 | $30068.30 | 1649474990 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | 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 906 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 906 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 906 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 |
|---|---|---|
| 905-MS-DRG | High | Skin Grafts for Injuries without CC/MCC |
| 906-MS-DRG | High | Hand Procedures for Injuries |
| 907-MS-DRG | High | Other O.R. Procedures for Injuries with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 906. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 906 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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