MS-DRG 913 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 913 by major payers:
$16,743.61
$20,405.15
$25,230.76
$25,722.76
| 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 913 | ||||||
United | 913 | $2000.00 | 1508920273 - BUCHANAN GENERAL HOSPITAL INC | 540895648 - BUCHANAN GENERAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 913 | $37164.26 | 1205960903 - HARRIS METHODIST FORT WORTH | 756001743 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 913 | $10453.16 | 1629053228 - MANHATTAN SURGICAL HOSPITAL LLC, MANHATTAN SURGICAL HOSPITAL | 481202466 - (KS) MANHATTAN SURGICAL HOSPITAL, LLC | KS | Special Hospital (284300000X) |
United | 913 | $6120.00 | 1205882669 - BRANDON HMA LLC, MERIT HEALTH RANKIN | 640885458 | MS | General Acute Care Hospital (282N00000X) |
United | 913 | $28766.90 | 1861635971 - MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC | 800337676 | WI | Special Hospital (284300000X) |
United | 913 | $9793.00 | 1326349986 - MID COAST MEDICAL CENTER, MID COAST MEDICAL CENTER - CENTRAL | 464007700 - (TX) SCOTT & WHITE HOSPITAL | TX | Critical Access Hospital (282NC0060X) |
United | 913 | $37116.32 | 1265698948 - UNIVERSITY OF IOWA HOSPITAL AND CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 913 | $54779.46 | 1457994188 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MICRO-HOSPITAL WESLACO | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 913 | $17911.58 | 1396847596 - ST CATHERINE HOSPITAL INC | 351738708 - (IN) ST CATHERINE HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 913 | $27273.48 | 1568458297 - DISTRICT HOSPITAL PARTNERS L P, THE GEORGE WASHINGTON UNIVERSITY HOSPITAL | 232896725 | DC | Psychiatric Hospital Unit (273R00000X) |
United | 913 | $4158.00 | 1922003730 - RUSSELL COUNTY MEDICAL CENTER, INC, RUSSELL COUNTY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | General Acute Care Hospital (282N00000X) |
United | 913 | $11893.25 | 1508934217 - MARSHALL MEDICAL CENTER NORTH | 831651180 | AL | General Acute Care Hospital (282N00000X) |
United | 913 | $32874.19 | 1447734272 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - MOORE | 352635546 - (OK) IACCEHI NW LLC | OK | General Acute Care Hospital (282N00000X) |
United | 913 | $27380.98 | 1619928017 - WINCHESTER MEDICAL CENTER | 540505979 - VALLEY HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 913 | $1200.00 | 1619057155 - SABINE MEDICAL CENTER | 262074318 | LA | 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 913 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 913 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 913 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 |
|---|---|---|
| 909-MS-DRG | High | Other O.R. Procedures for Injuries without CC/MCC |
| 913-MS-DRG | High | Traumatic Injury with MCC |
| 914-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 914-MS-DRG | High | Traumatic Injury without 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 913. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 913 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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