MS-DRG 947 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 947 by major payers:

$14,175.28

$18,156.51

$20,170.61

$20,637.29
| 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 947 | ||||||
United | 947 | $16616.03 | 1225130412 - MUNSTER MEDICAL RESEARCH FOUNDATION INC, COMMUNITY HOSPITAL | 351107009 - (IN) MUNSTER MEDICAL RESEARCH FOUNDATION INC | IN | General Acute Care Hospital (282N00000X) |
United | 947 | $27101.51 | 1740805423 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 947 | $11860.04 | 1255428736 - MEMORIAL HEALTH CARE SYSTEM INC., MEMORIAL HOSPITAL | 822748395 - CHI MEMORIAL HOSPITAL - GEORGIA | TN | General Acute Care Hospital (282N00000X) |
United | 947 | $9890.00 | 1366459570 - NORTH SHORE UNIVERSITY HOSPITAL | 111562701 - (NY) NORTH SHORE UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 947 | $19460.00 | 1356853907 - HMH HOSPITALS CORPORATION, RIVERVIEW MEDICAL CENTER-REHAB | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Rehabilitation Hospital Unit (273Y00000X) |
United | 947 | $29006.38 | 1003819475 - FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., FROEDTERT BLUEMOUND REHABILITATION HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | Rehabilitation Hospital Unit (273Y00000X) |
United | 947 | $13841.44 | 1568548782 - CANTON-POTSDAM HOSPITAL | 161012691 - CANTON-POTSDAM HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 947 | $13488.49 | 1659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 947 | $29886.14 | 1376574632 - SOUTH FLORIDA BAPTIST HOSPITAL, INC., SOUTH FLORIDA BAPTIST SKILLED NURSING UNIT | 590594631 - (FL) SOUTH FLORIDA BAPTIST HOSPITAL INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 947 | $3812.00 | 1023093234 - BETHESDA HOSPITAL INC., CORNELL INSTITUTE FOR REHABILITATIVE MEDICINE | 592447554 - (FL) BETHESDA HOSPITAL INC | FL | Rehabilitation Hospital (283X00000X) |
United | 947 | $39325.57 | 1154980118 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 947 | $24526.55 | 1306898960 - ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC., ASCENSION ST. VINCENT HOSPITAL | 743107055 - (IN) ST VINCENT CARMEL HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 947 | $17461.44 | 1558607457 - THE METROHEALTH SYSTEM, METROHEALTH SYSTEM | 346004382 | OH | General Acute Care Hospital (282N00000X) |
United | 947 | $22798.68 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | General Acute Care Hospital (282N00000X) |
United | 947 | $3665.00 | 1528195724 - THE SHRINERS' HOSPITAL FOR CHILDREN | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | MA | Children's Hospital (282NC2000X) |
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 947 vs. Other Factors Influencing Health Status & Other Contacts with Health Services Codes
The MS-DRG 947 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 947 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 |
|---|---|---|
| 946-MS-DRG | High | Rehabilitation without CC/MCC |
| 947-MS-DRG | High | Signs and Symptoms with MCC |
| 948-MS-DRG | High | Signs and Symptoms without 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 947. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 947 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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