MS-DRG 927 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 | • Burns |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 927 by major payers:
$185,951.57
$289,252.30
$369,703.90
$375,739.38
| 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 927 | ||||||
United | 927 | $232045.92 | 1760488266 - ST. LUKE'S WARREN HOSPITAL, INC. | 221494454 - (NJ) ST LUKES WARREN HOSPITAL INC | NJ | General Acute Care Hospital (282N00000X) |
United | 927 | $498344.87 | 1669424354 - SILVERTON HEALTH, LEGACY SILVERTON MEDICAL CENTER | 930281321 - (OR) SILVERTON HEALTH | OR | General Acute Care Hospital (282N00000X) |
United | 927 | $193523.53 | 1235250663 - ERLANGER MEDICAL CENTER | 626000101 - ERLANGER MEDICAL CENTER | TN | Critical Access Hospital (282NC0060X) |
United | 927 | $518959.96 | 1861102345 - ADVENTHEALTH PALM COAST PARKWAY INC, ADVENTHEALTH PALM COAST PARKWAY | 882288563 - (FL) ADVENTHEALTH PALM COAST PARKWAY INC | FL | General Acute Care Hospital (282N00000X) |
United | 927 | $561308.50 | 1649383035 - INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 927 | $260784.73 | 1285719385 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 927 | $505823.43 | 1134252133 - VIRGINIA MASON MEDICAL CENTER | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 927 | $565788.75 | 1144775032 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH OP SURGERY PATEWOOD | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 927 | $2723.00 | 1326339862 - VALLEY MEDICAL FACILITIES, INC, HERITAGE VALLEY KENNEDY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Psychiatric Hospital Unit (273R00000X) |
United | 927 | $208233.73 | 1912118134 - SPECIALISTS HOSPITAL SHREVEPORT, LLC | 208810573 - (LA) SPECIALISTS HOSPITAL SHREVEPORT, L.L.C. | LA | Special Hospital (284300000X) |
United | 927 | $461817.93 | 1376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 927 | $201970.60 | 1710353339 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 927 | $537401.18 | 1427181882 - MEMORIAL MEDICAL CENTER | 370661220 - (IL) MEMORIAL HEALTH SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 927 | $201970.60 | 1710353339 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 927 | $361606.62 | 1902858152 - CLEVELAND CLINIC HEALTH SYSTEM, HILLCREST HOSPITAL | 340714593 - CLEVELAND CLINIC HEALTH SYSTEM EAST REGION | OH | 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 927 vs. Other Burns Codes
The MS-DRG 927 code is part of the Burns 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 927 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 |
|---|---|---|
| 927-MS-DRG | High | Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft |
| 928-MS-DRG | High | Full Thickness Burn with Skin Graft or Inhalation Injury with CC/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 927. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 927 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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