MS-DRG 241 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 241 by major payers:
$20,458.03
$21,151.98
$23,776.94
$24,738.16
| 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 241 | ||||||
United | 241 | $12309.00 | 1407121189 - PREFERRED HOSPITAL LEASING COLEMAN, INC., COLEMAN COUNTY MEDICAL CENTER | 453780407 | TX | Critical Access Hospital (282NC0060X) |
United | 241 | $23518.50 | 1619163854 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL NORTH | 743230935 | IN | General Acute Care Hospital (282N00000X) |
United | 241 | $12674.65 | 1881691061 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 241 | $36556.26 | 1902073844 - THE MEDICAL CENTER HOSPITAL AUTHORITY, HUGHSTON HOSPITAL | 331216751 - (GA) HUGHSTON HOSPITAL INC | GA | Special Hospital (284300000X) |
United | 241 | $19740.42 | 1205189172 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL OVERLOOK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 241 | $13346.00 | 1356692297 - H H HEALTH SYSTEM-MORGAN LLC, DECATUR MORGAN HOSPITAL-DECATUR CAMPUS | 460928982 | AL | General Acute Care Hospital (282N00000X) |
United | 241 | $73029.32 | 1801821376 - JOHN MUIR HEALTH, JOHN MUIR HEALTH MEDICAL CENTER, CONCORD CAMPUS | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 241 | $22998.80 | 1639657414 - ADVOCATE NORTH SIDE HEALTH NETWORK, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER PSYCH UNIT | 363196629 - (IL) ADVOCATE NORTH SIDE HEALTH NETWORK | IL | Psychiatric Hospital Unit (273R00000X) |
United | 241 | $25515.02 | 1225029390 - JACKSON MADISON COUNTY GENERAL HOSPITAL, WEST TENNESSEE REHABILITATION CENTER | 626010402 - (TN) JACKSON MADISON COUNTY GENERAL HOSPITAL | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 241 | $10719.86 | 1629487848 - OSF HEALTHCARE SYSTEM, OSF SAINT ANTHONY'S HEALTH CENTER | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 241 | $31416.33 | 1063443455 - INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC, IU HEALTH WEST HOSPITAL | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 241 | $9200.40 | 1275700064 - FORREST COUNTY GENERAL HOSPITAL, HIGHLAND COMMUNITY HOSPITAL | 646001587 - FORREST COUNTY GENERAL HOSPITAL | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 241 | $32199.15 | 1073555462 - CLARKE COUNTY PUBLIC HOSPITAL, CLARKE COUNTY HOSPITAL | 426037982 | IA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 241 | $20876.07 | 1689875320 - THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | 356005697 | IN | General Acute Care Hospital (282N00000X) |
United | 241 | $17925.41 | 1518957174 - ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
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 241 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 241 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 241 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 |
|---|---|---|
| 240-APR-DRG | High | DIGESTIVE MALIGNANCY |
| 240-MS-DRG | High | Amputation for Circulatory System Disorders except Upper Limb and Toe with CC |
| 241-MS-DRG | High | Amputation for Circulatory System Disorders except Upper Limb and Toe without CC/MCC |
| 242-APR-DRG | High | MAJOR ESOPHAGEAL DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 241. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 241 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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