MS-DRG 232 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 | • Diseases & Disorders of the Circulatory System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 232 by major payers:
$70,718.33
$74,813.74
$94,661.91
$97,268.90
| 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 232 | ||||||
United | 232 | $106596.82 | 1447924154 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST MEDICAL CENTER SOUTH | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 232 | $65559.52 | 1790174860 - PRIME HEALTHCARE SERVICES MESQUITE LLC | 472177648 | TX | General Acute Care Hospital (282N00000X) |
United | 232 | $93209.31 | 1912932336 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON NORTH MEDICAL CENTER REHAB | 591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDA | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 232 | $4346.00 | 1215021225 - IRA DAVENPORT MEMORIAL HOSPITAL, INC. | 160835446 - (NY) IRA DAVENPORT MEMORIAL HOSPITAL INC | NY | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 232 | $66487.09 | 1063407138 - WASHINGTON REGIONAL MEDICAL CENTER | 710664687 - (AR) WASHINGTON REGIONAL MEDICAL CENTER | AR | Psychiatric Hospital Unit (273R00000X) |
United | 232 | $120649.50 | 1689107328 - UPMC CARLISLE | 820880337 - (PA) UPMC CARLISLE | PA | General Acute Care Hospital (282N00000X) |
United | 232 | $47036.98 | 1710913140 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | General Acute Care Hospital (282N00000X) |
United | 232 | $90439.29 | 1851495899 - RUSH UNIVERSITY MEDICAL CENTER | 362174823 - (IL) RUSH UNIVERSITY MEDICAL CENTER | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 232 | $7465.00 | 1013010917 - COMMUNITY MEDICAL CENTER INC | 223452306 | NJ | General Acute Care Hospital (282N00000X) |
United | 232 | $161665.09 | 1245248939 - MOUNT SINAI HOSPITAL, MOUNT SINAI OF QUEENS | 131624096 - MOUNT SINAI HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 232 | $60493.50 | 1518440254 - PRIME HEALTHCARE FOUNDATION, SOUTHERN REGIONAL MEDICAL CENTER | 300885567 | GA | Psychiatric Hospital Unit (273R00000X) |
United | 232 | $95341.54 | 1093705428 - JACKSON MADISON COUNTY GENERAL HOSPITAL | 626010402 - (TN) JACKSON MADISON COUNTY GENERAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 232 | $85638.00 | 1457306359 - SOUTHERN HILLS MEDICAL CENTER, LLC, SOUTHERN HILLS HOSPITAL & MEDICAL CENTER | 743048428 - (NV) SOUTHERN HILLS MEDICAL CENTER LLC | NV | General Acute Care Hospital (282N00000X) |
United | 232 | $161477.37 | 1336813880 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST OAKLEAF | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 232 | $132131.18 | 1306822200 - MEMORIAL MEDICAL CENTER | 370661220 - (IL) MEMORIAL HEALTH SYSTEM | IL | Chronic Disease Hospital (281P00000X) |
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 232 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 232 code is part of the Diseases & Disorders of the Circulatory System 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 232 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 |
|---|---|---|
| 231-APR-DRG | High | MAJOR LARGE BOWEL PROCEDURES |
| 231-MS-DRG | High | Coronary Bypass with PTCA with MCC |
| 232-MS-DRG | High | Coronary Bypass with PTCA without MCC |
| 233-APR-DRG | High | APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 232 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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