MS-DRG 928 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 928 by major payers:
$55,668.02
$84,906.68
$104,351.24
$106,409.00
| 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 928 | ||||||
United | 928 | $102013.52 | 1578058137 - RCCH TRIOS HEALTH LLC | 823962056 | WA | General Acute Care Hospital (282N00000X) |
United | 928 | $139301.81 | 1164481529 - ST. CHARLES HOSPITAL | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | General Acute Care Hospital (282N00000X) |
United | 928 | $76122.03 | 1386934420 - TUNKHANNOCK HOSPITAL COMPANY LLC, TYLER MEMORIAL HOSPITAL | 274566015 | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 928 | $74573.60 | 1689838245 - ODESSA REGIONAL HOSPITAL LP | 621795574 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 928 | $123129.14 | 1922305606 - ST FRANCIS COMMUNITY HOSPITAL, FRANCISCAN HEALTH SYSTEM | 911267921 - (WA) ST FRANCIS COMMUNITY HOSPITAL | WA | General Acute Care Hospital (282N00000X) |
United | 928 | $78550.53 | 1275608457 - RIDGEVIEW MEDICAL CENTER | 311667875 - RIDGEVIEW MEDICAL CENTER | MN | General Acute Care Hospital (282N00000X) |
United | 928 | $96449.99 | 1508683590 - OSF HEALTHCARE SYSTEM | 361000540 - (IL) KATHERINE SHAW BETHEA HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 928 | $98874.43 | 1316190069 - ROANE COUNTY MEDICAL CENTER, EMORY RIVER GERIATRIC CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 928 | $94766.90 | 1447082003 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NJ | General Acute Care Hospital (282N00000X) |
United | 928 | $100911.50 | 1992735088 - DIGNITY HEALTH, MERCY GILBERT MEDICAL CENTER | 352263845 - (AZ) DIGNITY HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 928 | $4193.00 | 1730692344 - HMH HOSPITALS CORPORATION, PALISADES MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 928 | $127126.17 | 1912527193 - ASCENSION NE WISCONSIN, INC, ASCENSION NE WISCONSIN-MERCY CAMPUS | 390816818 - ASCENSION NE WISCONSIN INC | WI | General Acute Care Hospital (282N00000X) |
United | 928 | $120426.97 | 1972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | 351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INC | IN | General Acute Care Hospital (282N00000X) |
United | 928 | $168254.84 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 928 | $23984.83 | 1760417646 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL | 461353294 | TX | Critical Access Hospital (282NC0060X) |
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 928 vs. Other Burns Codes
The MS-DRG 928 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 928 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 |
| 929-MS-DRG | High | Full Thickness Burn with Skin Graft or Inhalation Injury without 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 928. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 928 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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