MS-DRG 958 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 958 by major payers:
$46,814.12
$53,297.45
$64,205.56
$66,824.26
| 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 958 | ||||||
United | 958 | $31862.81 | 1619368339 - PREFERRED HOSPITAL LEASING MULESHOE, INC., MULESHOE AREA MEDICAL CENTER | 471743325 | TX | Critical Access Hospital (282NC0060X) |
United | 958 | $99917.46 | 1144288531 - SUNY HEALTH SCIENCE CENTER AT SYRACUSE, UPSTATE MEDICAL UNIVERSITY | 161469571 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 958 | $74214.04 | 1396207221 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CENTER FOR PERIOP OPTIMIZATION | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 958 | $99753.07 | 1093945412 - MISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDENCE MISSION HOSPITAL | 951643360 - (CA) MISSION HOSPITAL REGIONAL MEDICAL CENTER | CA | Psychiatric Hospital Unit (273R00000X) |
United | 958 | $51894.78 | 1841442274 - OKLAHOMA HEART HOSPITAL SOUTH LLC | 261131647 - (OK) OKLAHOMA HEART HOSPITAL SOUTH LLC | OK | General Acute Care Hospital (282N00000X) |
United | 958 | $41102.10 | 1942255724 - AMORY HMA LLC, MERIT HEALTH GILMORE MEMORIAL | 320583236 - MONROE HEALTH SERVICES INC | MS | General Acute Care Hospital (282N00000X) |
United | 958 | $25194.75 | 1669470712 - NEMAHA VALLEY COMMUNITY HOSPITAL | 480764456 - (KS) NEMAHA VALLEY COMMUNITY HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 958 | $6706.00 | 1104005990 - PRIME HEALTHCARE CENTINELA LLC, CENTINELA HOSPITAL MEDICAL CENTER | 261150758 - (CA) PRIME HEALTHCARE CENTINELA LLC | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 958 | $101793.56 | 1306406285 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 958 | $46368.00 | 1124443478 - TRIDENT MEDICAL CENTER, LLC, LOW COUNTRY TRANSITIONS AT TRIDENT MEDICAL CENTER | 621768106 | SC | Psychiatric Hospital Unit (273R00000X) |
United | 958 | $78181.93 | 1417005760 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH PRINCE WILLIAM MEDICAL CENTER | 540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 958 | $106361.61 | 1467702514 - EMANUEL MEDICAL CENTER, INC., EMANUEL FAMILY PRACTICE | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 958 | $93074.64 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 958 | $73770.90 | 1093791170 - HOSPITAL DEVELOPMENT OF WEST PHOENIX INC, ABRAZO WEST CAMPUS AND ABRAZO MARYVALE CAMPUS | 621867232 - (AZ) HOSPITAL DEVELOPMENT OF WEST PHOENIX INC | AZ | General Acute Care Hospital (282N00000X) |
United | 958 | $53067.78 | 1508826280 - PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION, UNIVERSITY HOSPITALS PARMA MEDICAL CENTER | 340827442 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | 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 958 vs. Other Multiple Significant Trauma Codes
The MS-DRG 958 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 958 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 |
|---|---|---|
| 957-APR-DRG | Moderate | Cleft Lip And Palate Repair |
| 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 |
| 959-MS-DRG | High | Other O.R. Procedures for Multiple Significant Trauma without CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 958. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 958 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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