MS-DRG 977 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 | • 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 977 by major payers:
$16,225.35
$18,951.37
$22,562.61
$23,069.05
| 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 977 | ||||||
United | 977 | $15422.00 | 1336312719 - WHITE PLAINS HOSPITAL CENTER | 131740130 - WHITE PLAINS HOSPITAL MEDICAL CENTER | NY | Hospitalist Physician (208M00000X) |
United | 977 | $13734.74 | 1609957141 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 977 | $57611.57 | 1609970011 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK - PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Psychiatric Hospital (283Q00000X) |
United | 977 | $12334.24 | 1427075027 - FLETCHER HOSPITAL INC., PARK RIDGE HEALTH, PARK RIDGE HOSPITAL | 560543246 - FLETCHER HOSPITAL INC | NC | Rural Acute Care Hospital (282NR1301X) |
United | 977 | $41350.80 | 1447393152 - DIGNITY HEALTH, ST. ROSE DOMINICAN HOSPITAL, ROSE DE LIMA CAMPUS | 880059427 - (NV) DIGNITY HEALTH | NV | General Acute Care Hospital (282N00000X) |
United | 977 | $15075.07 | 1720166002 - PRAIRIE LAKES HEALTH CARE SYSTEM INC | 460391067 - PRAIRIE LAKES HEALTH CARE SYSTEM INC | SD | Rural Acute Care Hospital (282NR1301X) |
United | 977 | $14540.50 | 1568481984 - MERCY HOSPITAL SOUTH | 430980256 - (MO) MERCY HOSPITAL SOUTH | MO | General Acute Care Hospital (282N00000X) |
United | 977 | $28370.32 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 977 | $14307.29 | 1518021310 - CLIFTON SPRINGS SANITARIUM CO, CLIFTON SPRINGS HOSPITAL AND CLINIC | 160743966 - (NY) CLIFTON SPRINGS SANITARIUM CO | NY | Psychiatric Hospital Unit (273R00000X) |
United | 977 | $14288.50 | 1538812946 - ST. JOSEPH HEALTH SYSTEM, LLC | 510382045 | IN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 977 | $6026.00 | 1053776591 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | Psychiatric Hospital Unit (273R00000X) |
United | 977 | $9477.00 | 1134271208 - RIVERSIDE TAPPAHANNOCK HOSPITAL INC, RIVERSIDE TAPPAHANNOCK HOSPITAL | 541489410 - (VA) VCU HEALTH TAPPAHANNOCK HOSPITAL | VA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 977 | $28144.44 | 1487640207 - DISTRICT HOSPITAL PARTNERS L P, THE GEORGE WASHINGTON UNIVERSITY HOSPITAL | 232896725 | DC | General Acute Care Hospital (282N00000X) |
United | 977 | $24000.42 | 1609345685 - MOUNTAIN VISTA MEDICAL CENTER, LP, FLORENCE HOSPITAL, A CAMPUS OF MOUNTAIN VISTA MEDICAL CENTER | 860181654 - HONORHEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 977 | $40606.78 | 1538193123 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | 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 977 vs. Other Human Immunodeficiency Virus Infections Codes
The MS-DRG 977 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 977 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 |
|---|---|---|
| 976-MS-DRG | High | HIV with Major Related Condition without CC/MCC |
| 977-MS-DRG | High | HIV with OR without Other Related Condition |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 977. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 977 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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