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See a sample rate comparisonMS-DRG 958 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.
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
| 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
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MS-DRG 958
5 of 25 sample ratesHigher to lower in this preview
North Shore Lij
North Shore University Hospital
$146,333.54Published rateSuny Health Science Center At Syracuse, Upstate Medical University
$99,917.46Published ratePrisma Health-Upstate, Prisma Health Center For Periop Optimization
Prisma Health - Upstate
$74,214.04Published rateGottlieb Memorial Hospital
$47,554.71Published ratePrime Healthcare Centinela LLC, Centinela Hospital Medical Center
Prime Healthcare Centinela LLC
$6,706.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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