MS-DRG 939 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 | • Factors Influencing Health Status & Other Contacts with Health Services |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 939 by major payers:

$37,177.85

$43,822.12

$49,941.94

$51,252.67
| 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 939 | ||||||
United | 939 | $84467.21 | 1376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 939 | $4958.00 | 1902280050 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL HOSPITAL REHABILITATION | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 939 | $68720.27 | 1265537674 - UPMC PINNACLE HOSPITALS | 251778644 - (PA) UPMC PINNACLE HOSPITALS | PA | General Acute Care Hospital (282N00000X) |
United | 939 | $54640.41 | 1396833844 - BAPTIST HEALTH SYSTEM INC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 939 | $56179.80 | 1326406489 - ALLE-KISKI MEDICAL CENTER, ALLEGHENY VALLEY HOSPITAL - REHAB UNIT | 251875178 - (PA) HIGHMARK HEALTH | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 939 | $34479.16 | 1063580660 - CARITAS NORWOOD HOSPITAL-PSYCHIATRY-IMPATIENT | 272473602 - (MA) STEWARD NORWOOD HOSPITAL, INC. | MA | Psychiatric Hospital Unit (273R00000X) |
United | 939 | $38592.67 | 1801990825 - SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC, MERCY HOSPITAL STODDARD | 461481133 - (MO) SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC | MO | General Acute Care Hospital (282N00000X) |
United | 939 | $22516.24 | 1417471467 - WEATHERFORD HEALTH SERVICES, LLC, MEDICAL CITY WEATHERFORD | 822073410 - (TX) WEATHERFORD HEALTH SERVICES LLC | TX | General Acute Care Hospital (282N00000X) |
United | 939 | $50053.98 | 1699235374 - AHN EMERUS WESTMORELAND LLC, AHN HEMPFIELD NEIGHBORHOOD HOSPITAL | 823697883 - (PA) AHN EMERUS WESTMORELAND LLC | PA | General Acute Care Hospital (282N00000X) |
United | 939 | $77117.78 | 1588635973 - FOLEY HOSPITAL COMPANY LLC, SOUTH BALDWIN REGIONAL MEDICAL CENTER | 621811413 - (AL) FOLEY HOSPITAL CORPORATION | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 939 | $54640.41 | 1396833844 - BAPTIST HEALTH SYSTEM INC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 939 | $21850.03 | 1790956571 - UPPER SAN JUAN HEALTH SERVICE DISTRICT, PAGOSA SPRINGS MEDICAL CENTER | 840866061 - (CO) UPPER SAN JUAN HEALTH SERVICE DISTRICT | CO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 939 | $38684.71 | 1033116876 - PROCTOR COMMUNITY HOSPITAL, PROCTOR HOSPITAL | 370681540 - PROCTOR COMMUNITY HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 939 | $45628.32 | 1790767812 - SAINT LUKES SOUTH HOSPITAL, INC. | 481203262 - SAINT LUKES SOUTH HOSPITAL INC | KS | Rehabilitation Hospital Unit (273Y00000X) |
United | 939 | $57173.26 | 1902845068 - ST. LUKE'S HOSPITAL OF DULUTH, ASPIRUS ST LUKES HOSPITAL INPATIENT REHAB | 410714079 - ST LUKES HOSPITAL OF DULUTH | MN | Rehabilitation Hospital Unit (273Y00000X) |
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 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.
| Code | Complexity | Description |
|---|---|---|
| 939-MS-DRG | High | O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC |
| 940-MS-DRG | High | O.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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