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MS-DRG 950 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.

Aftercare without CC/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 950 by major payers:

bcbs

$7,806.98

uhc

$13,279.89

aetna

$9,446.46

cigna

$9,742.13

Preview provider-level rates for...
For billing codeMS-DRG 950
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 950

United
950$5096.681134130289 - VALLEY MEDICAL FACILITIES, INC., VALLEY MEDICAL FACILITIES, HERITAGE VALLEY BEAVER251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEMPAPsychiatric Hospital Unit (273R00000X)
United
950$7645.311053375576 - BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC640772726 - BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INCMSGeneral Acute Care Hospital (282N00000X)
United
950$4454.241780677039 - CIBOLA GENERAL HOSPITAL CORPORATION, CIBOLA GENERAL HOSPITAL850141285 - (NM) CIBOLA GENERAL HOSPITAL CORPORATIONNMCritical Access Hospital (282NC0060X)
United
950$5614.831427086313 - BAXTER COUNTY REGIONAL HOSPITAL, INC, BAXTER REGIONAL MEDICAL CENTER710561765 - BAXTER COUNTY REGIONAL HOSPITAL INCARRehabilitation Hospital Unit (273Y00000X)
United
950$7134.601629085659 - ST JAMES HOSPITAL AND HEALTH CENTER362167869 - FRANCISCAN HEALTH OLYMPIA FIELDSILPsychiatric Hospital (283Q00000X)
United
950$6610.621043659816 - ORO VALLEY HOSPITAL LLC, ORO VALLEY HOSPITAL522379881AZPsychiatric Hospital Unit (273R00000X)
United
950$12524.951851390744 - THE FAUQUIER HOSPITAL INC463107896VAGeneral Acute Care Hospital (282N00000X)
United
950$7701.931164495255 - CATAWBA VALLEY MEDICAL CENTER560789196NCGeneral Acute Care Hospital (282N00000X)
United
950$9051.511730494816 - VIERA HOSPITAL INC, VIERA HOSPITAL INC264019868 - (FL) VIERA HOSPITAL INCFLGeneral Acute Care Hospital (282N00000X)
United
950$7496.581801262423 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL474131755AZPsychiatric Hospital Unit (273R00000X)
United
950$13812.031912969064 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC, MEMORIAL REGIONAL MEDICAL CENTER541744931 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLCVAGeneral Acute Care Hospital (282N00000X)
United
950$11206.541306176839 - ORTHOCOLORADO, LLC, ORTHO COLORADO HOSPITAL AT ST ANTHONY MEDI371577105 - (CO) ORTHOCOLORADO HOSPITALCOSpecial Hospital (284300000X)
United
950$8437.501811992084 - ABINGTON MEMORIAL HOSPITAL231352152 - ABINGTON MEMORIAL HOSPITALPAGeneral Acute Care Hospital (282N00000X)
United
950$13653.911659574069 - BANNER BAYWOOD MEDICAL CENTER, JOHN J. RHODES REHABILITATION INSTITUTE363386394 - (AZ) BANNER BAYWOOD MEDICAL CENTERAZRehabilitation Hospital Unit (273Y00000X)
United
950$7666.851144210253 - ASCENSION PROVIDENCE HOSPITAL381358212 - ASCENSION PROVIDENCE HOSPITALMIGeneral Acute Care Hospital (282N00000X)
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 950 vs. Other Factors Influencing Health Status & Other Contacts with Health Services Codes

The MS-DRG 950 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 950 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
949-MS-DRGHighAftercare with CC/MCC
950-MS-DRGHighAftercare without CC/MCC
951-APR-DRGHighMODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
951-MS-DRGHighOther Factors Influencing Health Status

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 950 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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