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MS-DRG 947 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.

Signs and Symptoms 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 947 by major payers:

bcbs

$14,175.28

uhc

$18,156.51

aetna

$20,170.61

cigna

$20,637.29

Preview provider-level rates for...
For billing codeMS-DRG 947
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 947

United
947$16616.031225130412 - MUNSTER MEDICAL RESEARCH FOUNDATION INC, COMMUNITY HOSPITAL351107009 - (IN) MUNSTER MEDICAL RESEARCH FOUNDATION INCINGeneral Acute Care Hospital (282N00000X)
United
947$27101.511740805423 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL843381796WIGeneral Acute Care Hospital (282N00000X)
United
947$11860.041255428736 - MEMORIAL HEALTH CARE SYSTEM INC., MEMORIAL HOSPITAL822748395 - CHI MEMORIAL HOSPITAL - GEORGIATNGeneral Acute Care Hospital (282N00000X)
United
947$9890.001366459570 - NORTH SHORE UNIVERSITY HOSPITAL111562701 - (NY) NORTH SHORE UNIVERSITY HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
947$19460.001356853907 - HMH HOSPITALS CORPORATION, RIVERVIEW MEDICAL CENTER-REHAB221487576 - HACKENSACK MERIDIAN HEALTH INCNJRehabilitation Hospital Unit (273Y00000X)
United
947$29006.381003819475 - FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., FROEDTERT BLUEMOUND REHABILITATION HOSPITAL390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INCWIRehabilitation Hospital Unit (273Y00000X)
United
947$13841.441568548782 - CANTON-POTSDAM HOSPITAL161012691 - CANTON-POTSDAM HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
947$13488.491659456994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL474131755AZRehabilitation Hospital Unit (273Y00000X)
United
947$29886.141376574632 - SOUTH FLORIDA BAPTIST HOSPITAL, INC., SOUTH FLORIDA BAPTIST SKILLED NURSING UNIT590594631 - (FL) SOUTH FLORIDA BAPTIST HOSPITAL INCFLRehabilitation Hospital Unit (273Y00000X)
United
947$3812.001023093234 - BETHESDA HOSPITAL INC., CORNELL INSTITUTE FOR REHABILITATIVE MEDICINE592447554 - (FL) BETHESDA HOSPITAL INCFLRehabilitation Hospital (283X00000X)
United
947$39325.571154980118 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITYCOGeneral Acute Care Hospital (282N00000X)
United
947$24526.551306898960 - ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC., ASCENSION ST. VINCENT HOSPITAL743107055 - (IN) ST VINCENT CARMEL HOSPITAL INCINGeneral Acute Care Hospital (282N00000X)
United
947$17461.441558607457 - THE METROHEALTH SYSTEM, METROHEALTH SYSTEM346004382OHGeneral Acute Care Hospital (282N00000X)
United
947$22798.681003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER474757851ALGeneral Acute Care Hospital (282N00000X)
United
947$3665.001528195724 - THE SHRINERS' HOSPITAL FOR CHILDREN362193608 - SHRINERS HOSPITALS FOR CHILDRENMAChildren's Hospital (282NC2000X)
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 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.

CodeComplexityDescription
946-MS-DRGHighRehabilitation without CC/MCC
947-MS-DRGHighSigns and Symptoms with MCC
948-MS-DRGHighSigns 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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