MS-DRG 935 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 935 by major payers:
$16,797.56
$26,974.09
$34,041.88
$34,689.47
| 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 935 | ||||||
United | 935 | $10668.83 | 1477857332 - BELLVILLE MEDICAL CENTER, MID COAST MEDICAL CLINIC-BELLVILLE | 274005511 - BELLVILLE MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 935 | $58360.53 | 1548378235 - MEDSTAR WASHINGTON HOSPITAL CENTER | 521272129 - (DC) WASHINGTON HOSPITAL CENTER CORPORATION | DC | General Acute Care Hospital (282N00000X) |
United | 935 | $52480.78 | 1841376092 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Rehabilitation Hospital Unit (273Y00000X) |
United | 935 | $56935.07 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 935 | $18601.31 | 1194907493 - SOUTHEAST HOSPITAL, MERCY HOSPITAL SOUTHEAST | 430654874 - (MO) SOUTHEAST HOSPITAL | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 935 | $30207.90 | 1023003720 - KATHERINE SHAW BETHEA HOSPITAL | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 935 | $35474.37 | 1760408801 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 935 | $39945.92 | 1992968150 - NAPLES COMMUNITY HOSPITAL INC, NCH HEALTHCARE | 590694358 - (FL) NAPLES COMMUNITY HOSPITAL INC | FL | Psychiatric Hospital (283Q00000X) |
United | 935 | $2665.00 | 1831160753 - CLEVELAND TENNESSEE HOSPITAL COMPANY LLC, SKYRIDGE MEDICAL CENTER | 621281627 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 935 | $14287.70 | 1609971019 - SCURRY COUNTY HOSPITAL DISTRICT, COGDELL MEMORIAL HOSPITAL | 752403687 - (TX) SCURRY COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 935 | $28965.25 | 1154303337 - SAINT LUKES SOUTH HOSPITAL, INC. | 481203262 - SAINT LUKES SOUTH HOSPITAL INC | KS | General Acute Care Hospital (282N00000X) |
United | 935 | $31345.21 | 1801284617 - BANNER | 901074558 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 935 | $18601.31 | 1811006661 - SOUTHEAST HOSPITAL, MERCY HOSPITAL SOUTHEAST | 430654874 - (MO) SOUTHEAST HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 935 | $36559.07 | 1528169125 - HONORHEALTH, HONORHEALTH DEER VALLEY MEDICAL CENTER | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 935 | $56842.82 | 1518271782 - EMANUEL MEDICAL CENTER, INC., EMANUEL SPECIALTY CARE - SURGERY | 752918774 | CA | 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 935 vs. Other Burns Codes
The MS-DRG 935 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 935 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 |
|---|---|---|
| 934-APR-DRG | Moderate | Sinus & Mastoid Procedures |
| 934-MS-DRG | High | Full Thickness Burn without Skin Graft or Inhalation Injury |
| 935-MS-DRG | High | Non-extensive Burns |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 935. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 935 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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