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See a sample rate comparisonMS-DRG 947 Fee Schedule
Last Verified: October 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.
SIGNS AND SYMPTOMS WITH MCC
| 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
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MS-DRG 947
5 of 25 sample ratesHigher to lower in this preview
University Of Colorado Hospital Authority
$39,325.57Published rateSt. Vincent Hospital & Health Care Center, Inc., Ascension St. Vincent Hospital
St Vincent Carmel Hospital Inc
$24,526.55Published rateThe Metrohealth System, Metrohealth System
$17,461.44Published rateAitkin Community Hospital, Inc., Riverwood Healthcare Center
Aitkin Community Hospital Inc
$13,119.24Published rateThe Shriners' Hospital For Children
Shriners Hospitals For Children
$3,665.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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