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MS-DRG 939 Fee Schedule

Last Verified: March 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.

O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC
Key FactDetail
Service Type

Factors Influencing Health Status & Other Contacts with Health Services

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 939 by major payers:

bcbs

$37,177.85

uhc

$43,822.12

aetna

$49,941.94

cigna

$51,252.67

Preview provider-level rates for...
For billing codeMS-DRG 939
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 939

United
939$84467.211376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL541547408 - SENTARA HOSPITALSVAGeneral Acute Care Hospital (282N00000X)
United
939$4958.001902280050 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL HOSPITAL REHABILITATION540544705 - JOHNSTON MEMORIAL HOSPITAL INCVAGeneral Acute Care Hospital (282N00000X)
United
939$68720.271265537674 - UPMC PINNACLE HOSPITALS251778644 - (PA) UPMC PINNACLE HOSPITALSPAGeneral Acute Care Hospital (282N00000X)
United
939$54640.411396833844 - BAPTIST HEALTH SYSTEM INC, WALKER BAPTIST MEDICAL CENTER474790386ALPsychiatric Hospital Unit (273R00000X)
United
939$56179.801326406489 - ALLE-KISKI MEDICAL CENTER, ALLEGHENY VALLEY HOSPITAL - REHAB UNIT251875178 - (PA) HIGHMARK HEALTHPARehabilitation Hospital Unit (273Y00000X)
United
939$34479.161063580660 - CARITAS NORWOOD HOSPITAL-PSYCHIATRY-IMPATIENT272473602 - (MA) STEWARD NORWOOD HOSPITAL, INC.MAPsychiatric Hospital Unit (273R00000X)
United
939$38592.671801990825 - SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC, MERCY HOSPITAL STODDARD461481133 - (MO) SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLCMOGeneral Acute Care Hospital (282N00000X)
United
939$22516.241417471467 - WEATHERFORD HEALTH SERVICES, LLC, MEDICAL CITY WEATHERFORD822073410 - (TX) WEATHERFORD HEALTH SERVICES LLCTXGeneral Acute Care Hospital (282N00000X)
United
939$50053.981699235374 - AHN EMERUS WESTMORELAND LLC, AHN HEMPFIELD NEIGHBORHOOD HOSPITAL823697883 - (PA) AHN EMERUS WESTMORELAND LLCPAGeneral Acute Care Hospital (282N00000X)
United
939$77117.781588635973 - FOLEY HOSPITAL COMPANY LLC, SOUTH BALDWIN REGIONAL MEDICAL CENTER621811413 - (AL) FOLEY HOSPITAL CORPORATIONALMedicare Defined Swing Bed Hospital Unit (275N00000X)
United
939$54640.411396833844 - BAPTIST HEALTH SYSTEM INC, WALKER BAPTIST MEDICAL CENTER474790386ALPsychiatric Hospital Unit (273R00000X)
United
939$21850.031790956571 - UPPER SAN JUAN HEALTH SERVICE DISTRICT, PAGOSA SPRINGS MEDICAL CENTER840866061 - (CO) UPPER SAN JUAN HEALTH SERVICE DISTRICTCOMedicare Defined Swing Bed Hospital Unit (275N00000X)
United
939$38684.711033116876 - PROCTOR COMMUNITY HOSPITAL, PROCTOR HOSPITAL370681540 - PROCTOR COMMUNITY HOSPITALILGeneral Acute Care Hospital (282N00000X)
United
939$45628.321790767812 - SAINT LUKES SOUTH HOSPITAL, INC.481203262 - SAINT LUKES SOUTH HOSPITAL INCKSRehabilitation Hospital Unit (273Y00000X)
United
939$57173.261902845068 - ST. LUKE'S HOSPITAL OF DULUTH, ASPIRUS ST LUKES HOSPITAL INPATIENT REHAB410714079 - ST LUKES HOSPITAL OF DULUTHMNRehabilitation Hospital Unit (273Y00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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MS-DRG 939 vs. Other Factors Influencing Health Status & Other Contacts with Health Services Codes

The MS-DRG 939 code is part of the Factors Influencing Health Status & Other Contacts with Health Services 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 939 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
939-MS-DRGHighO.R. Procedures with Diagnoses of Other Contact with Health Services with MCC
940-MS-DRGHighO.R. Procedures with Diagnoses of Other Contact with Health Services with CC

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 939. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 939 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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