MS-DRG 917 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 917 by major payers:
$16,566.66
$20,646.81
$25,637.80
$26,098.96
| 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 917 | ||||||
United | 917 | $26122.06 | 1609817220 - ENDEAVOR HEALTH CLINICAL OPERATIONS, HIGHLAND PARK HOSPITAL | 362167060 - (IL) NORTHSHORE UNIVERSITY HEALTHSYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 917 | $11335.41 | 1477585958 - KEARNEY CO HEALTH SERVICES, KEARNEY COUNTY HEALTH SERVICES | 476014070 - KEARNEY CO HEALTH SERVICES | NE | Critical Access Hospital (282NC0060X) |
United | 917 | $19710.83 | 1972655629 - CORNING HOSPITAL | 160393490 - (NY) CORNING HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 917 | $15785.58 | 1114639234 - SAN MIGUEL HOSPITAL CORPORATION | 742930034 - (NM) SAN MIGUEL HOSPITAL CORPORATION | NM | Critical Access Hospital (282NC0060X) |
United | 917 | $30305.35 | 1447227491 - HEALTHALLIANCE MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 917 | $17578.83 | 1083708226 - ST LUKE'S METHODIST HOSPITAL | 420504780 - ST LUKES METHODIST HOSPITAL | IA | General Acute Care Hospital (282N00000X) |
United | 917 | $50133.82 | 1912567892 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 917 | $18494.17 | 1487607784 - NORTHWEST HOSPITAL LLC, NORTHWEST MEDICAL CENTER | 522379881 | AZ | General Acute Care Hospital (282N00000X) |
United | 917 | $22644.25 | 1831868033 - VHS SAN ANTONIO PARTNERS, LLC, NORTH CENTRAL BAPTIST HOSPITAL | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 917 | $13996.48 | 1548241953 - CAMPBELL COUNTY HMA, LLC, TENNOVA HEALTHCARE-LAFOLLETTE MEDICAL CENTER | 452528273 - CAMPBELL COUNTY HMA LLC | TN | Psychiatric Hospital Unit (273R00000X) |
United | 917 | $35063.33 | 1679044002 - MONTEFIORE NYACK HOSPITAL | 131740119 - (NY) MONTEFIORE NYACK HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 917 | $28441.82 | 1629637608 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 917 | $11131.00 | 1386611580 - WAGONER HOSPITAL AUTHORITY | 352276246 - (OK) WAGONER HOSPITAL AUTHORITY, AN OKLAHOMA PUBLIC TRUST | OK | General Acute Care Hospital (282N00000X) |
United | 917 | $11651.96 | 1093397184 - SPRINGFIELD HEALTH SERVICES, LLC | 854366763 | TN | General Acute Care Hospital (282N00000X) |
United | 917 | $20074.84 | 1275531956 - COOKEVILLE REGIONAL MEDICAL CENTER | 626002166 | TN | 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 917 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 917 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 917 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 |
|---|---|---|
| 916-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 916-MS-DRG | High | Allergic Reactions without MCC |
| 917-MS-DRG | High | Poisoning and Toxic Effects of Drugs with MCC |
| 918-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 917. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 917 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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