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MS-DRG 928 Fee Schedule

Last Verified: October 2026

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.

FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
Key FactDetail
Service Type

Burns

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 928 by major payers:

bcbs

$55,668.02

uhc

$84,906.68

aetna

$104,351.24

cigna

$106,409.00

Compare published rates across providers.

Choose a payer to see a sample of rates for MS-DRG 928.

MS-DRG 928
5 of 25 sample ratesHigher to lower in this preview
  1. Banner -- University Medical Center Phoenix

    AZRehabilitation Hospital UnitNPI 1467506857Tax ID 27-0036499

    $168,254.84Published rate
  2. Inova Health Care Services, Inova Mount Vernon Hospital

    Inova Health Care Services

    VAPsychiatric Hospital UnitNPI 1104957083Tax ID 54-0620889

    $118,659.02Published rate
  3. New York Society For The Relief Of Ruptured & Crippled Maintaining

    NJGeneral Acute Care HospitalNPI 1447082003Tax ID 13-1624135

    $94,766.90Published rate
  4. Watertown Medical Center LLC, Watertown Regional Medical Center

    WIGeneral Acute Care HospitalNPI 1992776041Tax ID 47-3937421

    $64,990.07Published rate
  5. Hmh Hospitals Corporation, Palisades Medical Center

    Hackensack Meridian Health Inc

    NJGeneral Acute Care HospitalNPI 1730692344Tax ID 22-1487576

    $4,193.00Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
927-MS-DRGHighEXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
928-MS-DRGHighFULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
929-MS-DRGHighFULL 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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