MS-DRG 250 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 250 by major payers:
$30,177.27
$30,661.78
$35,841.79
$36,746.07
| 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 250 | ||||||
United | 250 | $66482.61 | 1063072932 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 250 | $11335.41 | 1477585958 - KEARNEY CO HEALTH SERVICES, KEARNEY COUNTY HEALTH SERVICES | 476014070 - KEARNEY CO HEALTH SERVICES | NE | Critical Access Hospital (282NC0060X) |
United | 250 | $53735.57 | 1346519816 - ST. JOSEPH'S HOSPITAL, INC., ST. JOSEPH'S WOMEN'S HOSPITAL | 590774199 - (FL) ST JOSEPHS HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 250 | $34921.10 | 1518995349 - REGIONS HOSPITAL | 410956618 - REGIONS HOSPITAL | MN | Rehabilitation Hospital Unit (273Y00000X) |
United | 250 | $500.00 | 1811476708 - HOUSTON COUNTY COMMUNITY HOSPITAL | 462490116 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 250 | $500.00 | 1811476708 - HOUSTON COUNTY COMMUNITY HOSPITAL | 462490116 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 250 | $28919.53 | 1336215482 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH HOSPITAL-ELGIN REHAB UNIT | 364195126 - (IL) PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 250 | $23373.44 | 1629171129 - ST. VINCENT'S EAST, ST. VINCENT'S EAST REHABILITATION CENTER | 630578923 - (AL) ST VINCENTS EAST | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 250 | $33948.39 | 1679508022 - MARIAN HEALTH CENTER -SMHC, MERCYONE SIOUXLAND MEDICAL CENTER | 311407377 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 250 | $33396.26 | 1831185156 - KATHERINE SHAW BETHEA HOSPITAL-DME | 361000540 - (IL) KATHERINE SHAW BETHEA HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 250 | $36252.32 | 1396057071 - VHS DETROIT RECEIVING HOSPITAL INC, DETROIT RECEIVING HOSPITAL | 272844942 | MI | Psychiatric Hospital Unit (273R00000X) |
United | 250 | $61131.26 | 1700553856 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | Children's Hospital (282NC2000X) |
United | 250 | $33303.75 | 1356560858 - J C BLAIR MEMORIAL HOSPITAL, PENN HIGHLANDS HUNTINGDON | 231352159 - (PA) J C BLAIR MEMORIAL HOSPITAL | PA | Psychiatric Hospital Unit (273R00000X) |
United | 250 | $38697.00 | 1932151057 - COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP, MEDICAL CITY NORTH HILLS | 621682205 - (TX) COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY LP | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 250 | $60243.23 | 1356687735 - CENTRAL VALLEY PERFUSION, INC | 752918774 | CA | 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 250 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 250 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 250 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 |
|---|---|---|
| 245-APR-DRG | High | INFLAMMATORY BOWEL DISEASE |
| 245-MS-DRG | High | AICD Generator Procedures |
| 250-MS-DRG | High | Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC |
| 251-APR-DRG | High | ABDOMINAL PAIN |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 250 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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