MS-DRG 957 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 957 by major payers:
$75,573.17
$94,346.21
$116,771.45
$119,535.08
| 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 957 | ||||||
United | 957 | $167780.29 | 1629637608 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 957 | $39696.25 | 1255476578 - REEVES COUNTY HOSPITAL DISTRICT, REEVES REGIONAL SWING BED | 752301801 - (TX) REEVES COUNTY HOSPITAL DISTRICT | TX | Critical Access Hospital (282NC0060X) |
United | 957 | $116426.59 | 1154764819 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 957 | $43511.53 | 1588664007 - SELECT SPECIALTY HOSPITAL | 752999825 - (GA) SELECT SPECIALTY HOSPITAL | GA | Long Term Care Hospital (282E00000X) |
United | 957 | $96315.20 | 1992747125 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN HOSPITAL REHABILITATION UNIT | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 957 | $51067.46 | 1467552471 - MERCY HEALTH, MERCY HOSPITAL FAIRFIELD | 310538532 | OH | General Acute Care Hospital (282N00000X) |
United | 957 | $210206.79 | 1447284039 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 957 | $78381.56 | 1780837435 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 957 | $53884.05 | 1376546440 - ROME MEMORIAL HOSPITAL, INC. | 161471634 - (NY) ROME MEMORIAL HOSPITAL INC | NY | General Acute Care Hospital (282N00000X) |
United | 957 | $126816.00 | 1841624756 - PECONIC BAY MEDICAL CENTER | 111661359 - (NY) CENTRAL SUFFOLK HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 957 | $59776.60 | 1427107754 - SALINE MEMORIAL HOSPITAL, EMERGENCY CLINIC | 812816675 | AR | General Acute Care Hospital (282N00000X) |
United | 957 | $134027.18 | 1972582724 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY, THE UNIVERSITY OF KANSAS HOSPITAL | 481202402 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY | KS | Rehabilitation Hospital Unit (273Y00000X) |
United | 957 | $89667.04 | 1396927117 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL - ST, CHARLES | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 957 | $210468.04 | 1982800397 - PELHAM MEDICAL CENTER | 141996067 | SC | General Acute Care Hospital (282N00000X) |
United | 957 | $188217.26 | 1679133532 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 957 vs. Other Multiple Significant Trauma Codes
The MS-DRG 957 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 957 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 |
|---|---|---|
| 956-APR-DRG | Moderate | Ungroupable |
| 956-MS-DRG | High | Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma |
| 957-MS-DRG | High | Other O.R. Procedures for Multiple Significant Trauma with MCC |
| 958-MS-DRG | High | Other O.R. Procedures for Multiple Significant Trauma with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 957 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 957) and we'll show you how you compare in 15 minutes or less.