MS-DRG 273 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 273 by major payers:
$42,939.67
$49,360.87
$55,408.33
$61,324.66
| 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 273 | ||||||
United | 273 | $4120.00 | 1710355649 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL SLEEP LAB | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 273 | $39542.85 | 1447363783 - BLACKWELL HMA LLC, ALLIANCEHEALTH BLACKWELL | 730927647 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 273 | $65255.26 | 1184647620 - LEGACY MERIDIAN PARK HOSPITAL | 930618975 - LEGACY MERIDIAN PARK HOSPITAL | OR | General Acute Care Hospital (282N00000X) |
United | 273 | $178710.93 | 1184654923 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS MEDICAL CENTER OF MODESTO | 952588614 | CA | General Acute Care Hospital (282N00000X) |
United | 273 | $36365.80 | 1184206385 - MCLAREN MACOMB | 381218516 - (MI) MCLAREN MACOMB | MI | Psychiatric Hospital Unit (273R00000X) |
United | 273 | $67416.21 | 1881048221 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 273 | $94257.78 | 1295788677 - SUN HEALTH CORPORATION, SUN HEALTH BOSWELL HOSPITAL | 900389314 | AZ | General Acute Care Hospital (282N00000X) |
United | 273 | $202350.20 | 1205605409 - SOUTH CAROLINA COASTAL MEDICAL CENTER LLC | 934580630 | SC | General Acute Care Hospital (282N00000X) |
United | 273 | $17232.55 | 1609287937 - QUILLEN REHABILITATION HOSPITAL OF JOHNSON CITY LLC, QUILLEN REHAB HOSP, A JV OF BALLAD HEALTH AND ENCOMPASS HEALTH | 465144209 - (TN) QUILLEN REHABILITATION HOSPITAL OF JOHNSON CITY LLC | TN | Rehabilitation Hospital (283X00000X) |
United | 273 | $59868.00 | 1871193664 - CFHS SUB I, LLC, UCF LAKE NONA HOSPITAL | 854247323 - (FL) CFHS SUB I LLC | FL | General Acute Care Hospital (282N00000X) |
United | 273 | $130533.63 | 1275632895 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 273 | $66475.10 | 1588640692 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 273 | $56840.12 | 1972664530 - BAPTIST HEALTH CARE, INC., GULF BREEZE HOSPITAL | 590657322 - BAPTIST HEALTH CARE INC | FL | General Acute Care Hospital (282N00000X) |
United | 273 | $38267.73 | 1962616508 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | Critical Access Hospital (282NC0060X) |
United | 273 | $93862.84 | 1649367269 - MEMORIAL HOSPITAL-WEST VOLUSIA INC, ADVENTHEALTH DELAND | 593256803 - MEMORIAL HOSPITAL-WEST VOLUSIA INC | FL | 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 273 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 273 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 273 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 |
|---|---|---|
| 272-APR-DRG | Moderate | Other Open Craniotomy |
| 272-MS-DRG | High | Other Major Cardiovascular Procedures without CC/MCC |
| 273-MS-DRG | High | Percutaneous and Other Intracardiac Procedures with MCC |
| 274-APR-DRG | Moderate | Other Open Craniotomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 273. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 273 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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