MS-DRG 987 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 | • O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 987 by major payers:
$37,645.25
$45,549.21
$54,762.90
$56,276.03
| 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 987 | ||||||
United | 987 | $111086.67 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 987 | $148738.65 | 1174768071 - BETH ISRAEL MEDICAL CENTER, KINGS HIGHWAY DIVISION | 135564934 - (NY) BETH ISRAEL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 987 | $84029.77 | 1134223878 - PROVIDENCE EVERETT MEDICAL CENTER, INPATIENT REHABILITATION FACILITY | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 987 | $38049.82 | 1952613416 - STEWARD NORWOOD HOSPITAL, INC. | 272473602 - (MA) STEWARD NORWOOD HOSPITAL, INC. | MA | General Acute Care Hospital (282N00000X) |
United | 987 | $39483.60 | 1285621839 - MEMORIAL HOSPITAL OF LARAMIE COUNTY, CHEYENNE REGIONAL MEDICAL CENTER | 836000194 - MEMORIAL HOSPITAL OF LARAMIE COUNTY | WY | General Acute Care Hospital (282N00000X) |
United | 987 | $27220.30 | 1124272547 - ADVOCATE CONDELL MEDICAL CENTER | 262525968 - (IL) ADVOCATE HEALTH CARE NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 987 | $41132.21 | 1811924954 - NATCHEZ REGIONAL MEDICAL CENTER | 371756496 | MS | General Acute Care Hospital (282N00000X) |
United | 987 | $34610.17 | 1275777690 - OAKWOOD HEALTHCARE INC, BEAUMONT HOSPITAL, TAYLOR | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 987 | $62064.03 | 1285684829 - ST. VINCENT JENNINGS HOSPITAL, INC. | 350869066 - (IN) ST VINCENT HOSPITAL & HEALTH CARE | IN | Critical Access Hospital (282NC0060X) |
United | 987 | $55237.57 | 1699235374 - AHN EMERUS WESTMORELAND LLC, AHN HEMPFIELD NEIGHBORHOOD HOSPITAL | 823697883 - (PA) AHN EMERUS WESTMORELAND LLC | PA | General Acute Care Hospital (282N00000X) |
United | 987 | $52617.94 | 1295840999 - STAFFORD COUNTY HOSPITAL | 486008218 - (KS) STAFFORD COUNTY HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 987 | $9732.00 | 1861486870 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY, RAHWAY HOSPITAL | 221487305 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY | NJ | General Acute Care Hospital (282N00000X) |
United | 987 | $62092.35 | 1912902206 - JEANES HOSPITAL | 232825878 - (PA) TEMPLE UNIVERSITY HOSPITAL INC | PA | General Acute Care Hospital (282N00000X) |
United | 987 | $44453.28 | 1255354700 - LEGACY MOUNT HOOD MEDICAL CENTER | 930591528 - (OR) LEGACY MOUNT HOOD MEDICAL CENTER | OR | General Acute Care Hospital (282N00000X) |
United | 987 | $50978.03 | 1437840253 - SOUTH ARKANSAS REGIONAL HOSPITAL LLC | 923616260 | AR | 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 987 vs. Other O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC Codes
The MS-DRG 987 code is part of the O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC 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 987 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 |
|---|---|---|
| 983-APR-DRG | Moderate | Other Ear, Nose, Mouth And Throat Procedures |
| 983-MS-DRG | High | Extensive O.R. Procedures unrelated to Principal Diagnosis without CC/MCC |
| 987-MS-DRG | High | Non-extensive O.R. Procedures unrelated to Principal Diagnosis with MCC |
| 988-APR-DRG | Moderate | Other Ear, Nose, Mouth And Throat Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 987. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 987 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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