MS-DRG 941 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 941 by major payers:
$21,523.89
$24,991.66
$30,400.37
$31,606.81
| 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 941 | ||||||
United | 941 | $23407.52 | 1962577890 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER ACUTE | 731089149 - (OK) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | OK | Psychiatric Hospital Unit (273R00000X) |
United | 941 | $27952.34 | 1396036695 - JORDAN VALLEY MEDICAL CENTER LP, JORDAN VALLEY MEDICAL CENTER | 820588653 | UT | Psychiatric Hospital Unit (273R00000X) |
United | 941 | $4120.00 | 1487832200 - SMYTH COUNTY COMMUNITY HOSPITAL, SMYTH COUNTY COMMUNITY HOSPITAL SWING BED UNIT | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 941 | $33674.53 | 1417360736 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NC | General Acute Care Hospital (282N00000X) |
United | 941 | $24499.19 | 1497119218 - THEDACARE REGIONAL MEDICAL CENTER, APPLETON MEDICAL CENTER, INC. | 390824015 - (WI) THEDACARE REGIONAL MEDICAL CENTER- APPLETON INC | WI | General Acute Care Hospital (282N00000X) |
United | 941 | $19361.25 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | General Acute Care Hospital (282N00000X) |
United | 941 | $29855.61 | 1912007931 - MERCY HEALTH, MERCY HEALTH - WEST HOSPITAL | 311091597 | OH | General Acute Care Hospital (282N00000X) |
United | 941 | $30661.00 | 1598781486 - NUMC DEPARTMENT OF NEPHROLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 941 | $32685.99 | 1700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 941 | $24942.73 | 1205645082 - SAINT JOSEPH HOSPITAL | 992115457 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 941 | $62756.48 | 1508998394 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE ST. JOSEPH HOSPITAL | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 941 | $36314.80 | 1417944224 - IREDELL MEMORIAL HOSPITAL, INCORPORATED | 560591303 - (NC) IREDELL MEMORIAL HOSPITAL INCORPORATED | NC | General Acute Care Hospital (282N00000X) |
United | 941 | $54625.78 | 1912938788 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 941 | $51490.16 | 1104847888 - SOUND SHORE MEDICAL CENTER OF WESTCHESTER | 462931956 - (NY) MONTEFIORE NEW ROCHELLE HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 941 | $23305.02 | 1033228168 - ST FRANCIS HEALTH LLC, ST FRANCIS HOSPITAL | 475259919 - (GA) ST FRANCIS HEALTH LLC | GA | 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 941 vs. Other Factors Influencing Health Status & Other Contacts with Health Services Codes
The MS-DRG 941 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 941 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 |
|---|---|---|
| 940-MS-DRG | High | O.R. Procedures with Diagnoses of Other Contact with Health Services with CC |
| 941-MS-DRG | High | O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC |
| 945-MS-DRG | High | Rehabilitation with 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 941. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 941 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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