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See a sample rate comparisonMS-DRG 975 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.
HIV WITH MAJOR RELATED CONDITION WITH CC
| Key Fact | Detail |
|---|---|
| Service Type | Human Immunodeficiency Virus Infections |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 975 by major payers:
$17,382.20
$18,777.52
$22,286.22
$22,855.27
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MS-DRG 975
5 of 25 sample ratesHigher to lower in this preview
Inspira Medical Centers, Inc.
Inspira Medical Centers Inc
$39,317.35Published rateCarondelet Health Network, St Mary'S Hospital
$31,643.21Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
$20,803.33Published rateTaylor County Hospital District Health Facilities Corporation
Taylor County Hospital District Health Facilities Corp
$11,015.23Published rateJackson County Hospital District, Jackson Hospital
Jackson County Hospital District
$1,820.00Published rate
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See a sample payer proposalMS-DRG 975 vs. Other Human Immunodeficiency Virus Infections Codes
The MS-DRG 975 code is part of the Human Immunodeficiency Virus Infections 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 975 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 |
|---|---|---|
| 974-APR-DRG | Moderate | Tonsil And Adenoid Procedures |
| 974-MS-DRG | High | HIV WITH MAJOR RELATED CONDITION WITH MCC |
| 975-MS-DRG | High | HIV WITH MAJOR RELATED CONDITION WITH CC |
| 976-MS-DRG | High | HIV WITH MAJOR RELATED CONDITION 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 975. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 975 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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