MS-DRG 907 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 907 by major payers:
$43,511.01
$50,981.53
$62,338.75
$63,985.76
| 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 907 | ||||||
United | 907 | $2536.00 | 1093087157 - PRIME HEALTHCARE SERVICES ROXBOROUGH LLC, ROXBOROUGH MEMORIAL HOSPITAL | 454246163 - (PA) PRIME HEALTHCARE SERVICES ROXBOROUGH, LLC | PA | Psychiatric Hospital Unit (273R00000X) |
United | 907 | $33538.73 | 1083903744 - HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUIS, ST. BERNARD PARISH HOSPITAL | 261576974 - (LA) HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST BERNARD STATE OF LOUIS | LA | Rural Acute Care Hospital (282NR1301X) |
United | 907 | $50509.23 | 1467473579 - INTEGRIS GROVE HOSPITAL | 730731338 | OK | General Acute Care Hospital (282N00000X) |
United | 907 | $1000.00 | 1528319092 - SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY, SEQUOYAH MEMORIAL HOSPITAL AND HOME HEALTH | 731066229 - (OK) SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 907 | $23946.01 | 1811905375 - CAMERON REGIONAL MEDICAL CENTER INC, CAMERON COMMUNITY HOSPITAL | 440668347 - (MO) CAMERON REGIONAL MEDICAL CENTER INC | MO | General Acute Care Hospital (282N00000X) |
United | 907 | $65627.46 | 1063545283 - FLUSHING HOSPITAL & MEDICAL CENTER | 111631781 - FLUSHING HOSPITAL & MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 907 | $54787.82 | 1962600072 - KATHERINE SHAW BETHEA HOSPITAL | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 907 | $39462.69 | 1295764470 - BRONSON BATTLE CREEK HOSPITAL, FIELDSTONE CENTER | 382776791 - (MI) BRONSON BATTLE CREEK HOSPITAL | MI | Psychiatric Hospital Unit (273R00000X) |
United | 907 | $52080.28 | 1477805406 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL WESTOVER HILLS | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 907 | $34439.08 | 1699096552 - RCHP, SHOALS HOSPITAL | 272451336 | AL | General Acute Care Hospital (282N00000X) |
United | 907 | $67702.97 | 1013985126 - JEFFERSON REGIONAL MEDICAL CENTER | 251260215 - (PA) HIGHMARK HEALTH | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 907 | $66069.65 | 1568413573 - MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC, MCKENZIE-WILLAMETTE MEDICAL CENTER | 200214051 - (OR) MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES, LLC | OR | General Acute Care Hospital (282N00000X) |
United | 907 | $46167.10 | 1639657414 - ADVOCATE NORTH SIDE HEALTH NETWORK, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER PSYCH UNIT | 363196629 - (IL) ADVOCATE NORTH SIDE HEALTH NETWORK | IL | Psychiatric Hospital Unit (273R00000X) |
United | 907 | $18752.58 | 1669441176 - WILSON COUNTY HOSPITAL | 486040227 - (KS) WILSON COUNTY HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 907 | $24548.69 | 1407819253 - SAME DAY SURGERY CENTER LLC | 411889892 | SD | Special Hospital (284300000X) |
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 907 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 907 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 907 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 |
|---|---|---|
| 906-MS-DRG | High | Hand Procedures for Injuries |
| 907-MS-DRG | High | Other O.R. Procedures for Injuries with MCC |
| 908-MS-DRG | High | Other O.R. Procedures 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 907. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 907 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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