MS-DRG 915 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 915 by major payers:
$18,442.53
$21,836.54
$27,260.67
$27,724.85
| 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 915 | ||||||
United | 915 | $8485.44 | 1063412666 - SELECT SPECIALTY HOSPITAL | 262165913 | TX | Long Term Care Hospital (282E00000X) |
United | 915 | $49402.96 | 1538471800 - VHS CHILDRENS HOSPITAL OF MICHIGAN INC, CHILDRENS HOSPITAL OF MICHIGAN | 272845064 | MI | Children's Hospital (282NC2000X) |
United | 915 | $27851.16 | 1225289895 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE HOLY FAMILY HOSPITAL | 352345508 | WA | General Acute Care Hospital (282N00000X) |
United | 915 | $13559.33 | 1487866315 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY, ATRIUM HEALTH CABARRUS | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 915 | $23154.25 | 1114903523 - BRIM HEALTHCARE OF TEXAS LLC | 264178850 | TX | General Acute Care Hospital (282N00000X) |
United | 915 | $30870.72 | 1679121024 - FAIRVIEW HEALTH SERVICES, UMMC, FAIRVIEW (PSYCH UNIT) | 410991680 - FAIRVIEW HEALTH SERVICES | MN | Psychiatric Hospital Unit (273R00000X) |
United | 915 | $101317.68 | 1407016793 - DOCTORS MEDICAL CENTER, DOCTORS BEHAVIORAL HEALTH | 952588614 | CA | Psychiatric Hospital (283Q00000X) |
United | 915 | $26377.84 | 1235129149 - MANATEE MEMORIAL HOSPITAL L P, MANATEE MEMORIAL HOSPITAL | 232798290 - (FL) MANATEE MEMORIAL HOSPITAL, L.P. | FL | Psychiatric Hospital Unit (273R00000X) |
United | 915 | $5226.00 | 1225484751 - PROSPECT MANCHESTER HOSPITAL, INC., INPATIENT PSYCH UNIT | 812216981 | CT | Psychiatric Hospital Unit (273R00000X) |
United | 915 | $14189.95 | 1982997763 - RICHMOND UNIVERSITY MEDICAL CENTER | 743177454 - (NY) RICHMOND MEDICAL CENTER | NY | Psychiatric Hospital (283Q00000X) |
United | 915 | $2771.00 | 1639156045 - WYOMING COUNTY, WYOMING COUNTY COMMUNITY HOSPITAL PSYCH | 166002571 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 915 | $44246.92 | 1508312604 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH OP SURGERY CROSS CREEK | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 915 | $39406.87 | 1861630287 - UNIVERSITY COMMUNITY HOSPITAL, INC, ADVENTHEALTH TAMPA | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 915 | $5226.00 | 1225484751 - PROSPECT MANCHESTER HOSPITAL, INC., INPATIENT PSYCH UNIT | 812216981 | CT | Psychiatric Hospital Unit (273R00000X) |
United | 915 | $24244.05 | 1811341290 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | Psychiatric Hospital Unit (273R00000X) |
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 915 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 915 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 915 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 |
|---|---|---|
| 914-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 914-MS-DRG | High | Traumatic Injury without MCC |
| 915-MS-DRG | High | Allergic Reactions with MCC |
| 916-APR-DRG | Moderate | Other Major Head And Neck 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 915. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 915 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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