MS-DRG 918 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 918 by major payers:
$9,126.81
$11,842.03
$13,921.46
$14,319.67
| 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 918 | ||||||
United | 918 | $12007.55 | 1114903523 - BRIM HEALTHCARE OF TEXAS LLC | 264178850 | TX | General Acute Care Hospital (282N00000X) |
United | 918 | $8025.97 | 1902881295 - SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, THE CORE INSTITUTE SPECIALTY HOSPITAL | 202615543 - (AZ) SURGICAL SPECIALTY HOSPITAL OF ARIZONA | AZ | Special Hospital (284300000X) |
United | 918 | $10586.00 | 1497572036 - HONORHEALTH | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 918 | $7115.33 | 1922182831 - SALINE HOSPITAL LLC, SALINE MEMORIAL HOSPITAL | 812816675 | AR | Psychiatric Hospital Unit (273R00000X) |
United | 918 | $7657.97 | 1710031836 - MEADVILLE MEDICAL CENTER, INPATIENT DRUG AND ALCOHOL | 251512436 - (PA) MEADVILLE MEDICAL CENTER | PA | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 918 | $3693.00 | 1992159925 - HOSPITAL SERVICE DISTRICT NO 1 OF IBERIA PARISH, IBERIA MEDICAL CENTER | 726014963 | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 918 | $19692.97 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 918 | $7019.00 | 1083669683 - LEHIGH HMA LLC, LEHIGH REGIONAL MEDICAL CENTER | 871999484 | FL | General Acute Care Hospital (282N00000X) |
United | 918 | $21252.83 | 1801803903 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, QUEENS HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 918 | $6813.18 | 1043805732 - SSM HEALTH CARE OF OKLAHOMA, INC | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 918 | $33330.26 | 1770768202 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEWYORK-PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 918 | $9621.87 | 1548796378 - CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, CHRISTUS OCHSNER LAKE AREA HOSPITAL | 720411322 - (LA) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA | LA | General Acute Care Hospital (282N00000X) |
United | 918 | $22069.00 | 1861447179 - AURORA HEALTH CARE METRO, INC. | 390806181 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 918 | $12110.13 | 1578875258 - VHS HARPER-HUTZEL HOSPITAL INC, HARPER-HUTZEL HOSPITAL PSYCH UNIT | 272844767 | MI | Psychiatric Hospital Unit (273R00000X) |
United | 918 | $13668.83 | 1275557654 - DLP FRYE REGIONAL MEDICAL CENTER LLC, FRYE REGIONAL MEDICAL CENTER | 352547114 | NC | Rehabilitation Hospital Unit (273Y00000X) |
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 918 vs. Other Injuries, Poisonings & Toxic Effects of Drugs Codes
The MS-DRG 918 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 918 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 |
|---|---|---|
| 917-APR-DRG | Moderate | Other Major Head And Neck Procedures |
| 917-MS-DRG | High | Poisoning and Toxic Effects of Drugs with MCC |
| 918-MS-DRG | High | Poisoning and Toxic Effects of Drugs without MCC |
| 919-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 918. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 918 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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