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See a sample rate comparisonMS-DRG 963 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 MULTIPLE SIGNIFICANT TRAUMA WITH MCC
| 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 963 by major payers:
$29,819.86
$34,304.23
$42,966.07
$43,061.59
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MS-DRG 963
5 of 25 sample ratesHigher to lower in this preview
Florida Hospital Ocala Inc, Advent Health Ocala
Florida Hospital Ocala Inc
$72,516.40Published rateAllina Health System, Mercy Hospital
Allina Health System
$56,990.92Published rateMercy Health Services-Iowa Corp, Acute Rehabilitaton Unit
Mercy Health Services Iowa Corp
$44,965.55Published rateSmsj Tucson Holdings LLC, St. Marys Hospital
$29,864.67Published rateWellmont Health System, Bristol Regional Medical Center Psychiatric Unit
Wellmont Health System
$2,765.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 963 vs. Other Multiple Significant Trauma Codes
The MS-DRG 963 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 963 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 |
|---|---|---|
| 959-MS-DRG | High | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC |
| 963-MS-DRG | High | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC |
| 964-MS-DRG | High | OTHER 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 963. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 963 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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