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See a sample rate comparisonMS-DRG 956 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.
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
| 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
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MS-DRG 956
5 of 25 sample ratesHigher to lower in this preview
Healthalliance Marys Avenue Campus, Benedictine Hospital
Healthalliance Hospital Marys Avenue Campus
$102,291.25Published rateCommunity Hospital Of Anderson & Madison County, Inc
Community Hospital Of Anderson- Madison County Inc
$80,010.47Published rateSaint Francis Hospital South LLC, Saint Francis Hospital South
Saint Francis Hospital South LLC
$70,186.90Published rateMooresville Hospital Management Associates LLC, Lake Norman Regional Medical Center
$48,838.80Published rateStanton County Hospital
$23,939.50Published rate
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See a sample payer proposalMS-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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