MS-DRG 956 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 | • Multiple Significant Trauma |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 956 by major payers:

$47,813.62

$50,193.87

$59,878.13

$62,041.43
| 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 956 | ||||||
United | 956 | $47100.73 | 1912978875 - MERCY HOSPITAL WALDRON | 710557895 - MERCY HOSPITAL WALDRON | AR | Critical Access Hospital (282NC0060X) |
United | 956 | $65881.14 | 1801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 956 | $102291.25 | 1447227491 - HEALTHALLIANCE MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 956 | $72070.57 | 1346354677 - FLORIDA HOSPITAL ZEPHYRHILLS INC, ADVENTHEALTH ZEPHYRHILLS | 592108057 - (FL) FLORIDA HOSPITAL ZEPHYRHILLS INC | FL | General Acute Care Hospital (282N00000X) |
United | 956 | $80010.47 | 1972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | 351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INC | IN | General Acute Care Hospital (282N00000X) |
United | 956 | $23939.50 | 1871695973 - STANTON COUNTY HOSPITAL | 480680477 | KS | Critical Access Hospital (282NC0060X) |
United | 956 | $96293.89 | 1558521070 - BANNER BOSWELL MEDICAL CENTER | 900389314 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 956 | $65006.17 | 1427085232 - WARREN MEMORIAL HOSPITAL, INC. | 540488103 - VALLEY HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | 956 | $64350.96 | 1720037799 - NORTH VISTA HOSPITAL LLC, NORTH VISTA HOSPITAL | 200470861 | NV | General Acute Care Hospital (282N00000X) |
United | 956 | $70186.90 | 1376561944 - SAINT FRANCIS HOSPITAL SOUTH LLC, SAINT FRANCIS HOSPITAL SOUTH | 10603214 - SAINT FRANCIS HOSPITAL SOUTH LLC | OK | General Acute Care Hospital (282N00000X) |
United | 956 | $87926.67 | 1548536006 - EDEN MEDICAL CENTER, SAN LEANDRO HOSPITAL | 943302014 | CA | General Acute Care Hospital (282N00000X) |
United | 956 | $84199.82 | 1518042175 - UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDRENS HOSPITAL | 341567805 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | Children's Hospital (282NC2000X) |
United | 956 | $39271.33 | 1760020044 - THREE CROSSES REGIONAL HOSPITAL LLC | 852388743 - (NM) THREE CROSSES REGIONAL HOSPITAL, LLC | NM | General Acute Care Hospital (282N00000X) |
United | 956 | $74721.28 | 1902474430 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 956 | $45364.23 | 1003908666 - CENTRAL IOWA HOSPITAL CORPORATION, IOWA METHODIST MEDICAL CENTER | 420680452 - CENTRAL IOWA HOSPITAL CORPORATION | IA | Rehabilitation Hospital Unit (273Y00000X) |
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 956 vs. Other Multiple Significant Trauma Codes
The MS-DRG 956 code is part of the Multiple Significant Trauma 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 956 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 |
|---|---|---|
| 955-APR-DRG | Moderate | Principal Diagnosis Invalid As Discharge Diagnosis |
| 955-MS-DRG | High | Craniotomy for Multiple Significant Trauma |
| 956-MS-DRG | High | Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma |
| 957-APR-DRG | Moderate | Cleft Lip And Palate Repair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 956. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 956 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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