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MS-DRG 956 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.

Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
Key FactDetail
Service Type

Multiple Significant Trauma

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 956 by major payers:

bcbs

$47,813.62

uhc

$50,193.87

aetna

$59,878.13

cigna

$62,041.43

Preview provider-level rates for...
For billing codeMS-DRG 956
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for MS-DRG 956

United
956$47100.731912978875 - MERCY HOSPITAL WALDRON710557895 - MERCY HOSPITAL WALDRONARCritical Access Hospital (282NC0060X)
United
956$65881.141801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL474131755AZGeneral Acute Care Hospital (282N00000X)
United
956$102291.251447227491 - HEALTHALLIANCE MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUSNYRehabilitation Hospital Unit (273Y00000X)
United
956$72070.571346354677 - FLORIDA HOSPITAL ZEPHYRHILLS INC, ADVENTHEALTH ZEPHYRHILLS592108057 - (FL) FLORIDA HOSPITAL ZEPHYRHILLS INCFLGeneral Acute Care Hospital (282N00000X)
United
956$80010.471972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INCINGeneral Acute Care Hospital (282N00000X)
United
956$23939.501871695973 - STANTON COUNTY HOSPITAL480680477KSCritical Access Hospital (282NC0060X)
United
956$96293.891558521070 - BANNER BOSWELL MEDICAL CENTER900389314AZRehabilitation Hospital Unit (273Y00000X)
United
956$65006.171427085232 - WARREN MEMORIAL HOSPITAL, INC.540488103 - VALLEY HEALTH SYSTEMVAGeneral Acute Care Hospital (282N00000X)
United
956$64350.961720037799 - NORTH VISTA HOSPITAL LLC, NORTH VISTA HOSPITAL200470861NVGeneral Acute Care Hospital (282N00000X)
United
956$70186.901376561944 - SAINT FRANCIS HOSPITAL SOUTH LLC, SAINT FRANCIS HOSPITAL SOUTH10603214 - SAINT FRANCIS HOSPITAL SOUTH LLCOKGeneral Acute Care Hospital (282N00000X)
United
956$87926.671548536006 - EDEN MEDICAL CENTER, SAN LEANDRO HOSPITAL943302014CAGeneral Acute Care Hospital (282N00000X)
United
956$84199.821518042175 - UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, UNIVERSITY HOSPITALS RAINBOW BABIES & CHILDRENS HOSPITAL341567805 - UNIVERSITY HOSPITALS HEALTH SYSTEM INCOHChildren's Hospital (282NC2000X)
United
956$39271.331760020044 - THREE CROSSES REGIONAL HOSPITAL LLC852388743 - (NM) THREE CROSSES REGIONAL HOSPITAL, LLCNMGeneral Acute Care Hospital (282N00000X)
United
956$74721.281902474430 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL843381796WIGeneral Acute Care Hospital (282N00000X)
United
956$45364.231003908666 - CENTRAL IOWA HOSPITAL CORPORATION, IOWA METHODIST MEDICAL CENTER420680452 - CENTRAL IOWA HOSPITAL CORPORATIONIARehabilitation Hospital Unit (273Y00000X)
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 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.

CodeComplexityDescription
955-APR-DRGModeratePrincipal Diagnosis Invalid As Discharge Diagnosis
955-MS-DRGHighCraniotomy for Multiple Significant Trauma
956-MS-DRGHighLimb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
957-APR-DRGModerateCleft 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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