MS-DRG 274 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 274 by major payers:
$35,178.45
$38,768.62
$45,623.98
$49,711.54
| 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 274 | ||||||
United | 274 | $28405.00 | 1184179194 - METHODIST HEALTH CENTERS, HOUSTON METHODIST THE WOODLANDS HOSPITAL | 760545192 - METHODIST HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 274 | $24655.90 | 1285600379 - COFFEYVILLE REGIONAL MEDICAL CENTER, INC. | 481178846 - COFFEYVILLE REGIONAL MEDICAL CENTER INC | KS | Critical Access Hospital (282NC0060X) |
United | 274 | $63718.33 | 1780608216 - LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER | 930386793 - LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PAYROLL DEPT | OR | General Acute Care Hospital (282N00000X) |
United | 274 | $7275.00 | 1891809679 - FREEMAN-OAK HILL HEALTH SYSTEM, FREEMAN HEALTH SYSTEM | 431704371 - FREEMAN HEALTH SYSTEM | MO | General Acute Care Hospital (282N00000X) |
United | 274 | $55448.55 | 1225060312 - OHIOHEALTH CORPORATION, RIVERSIDE METHODIST HOSPITAL | 314394942 - OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN MET | OH | Psychiatric Hospital Unit (273R00000X) |
United | 274 | $54481.08 | 1942247200 - CITRUS HMA INC, SEVEN RIVERS REGIONAL MEDICAL CENTER | 200195256 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 274 | $79638.56 | 1215969787 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 274 | $54105.16 | 1841258639 - MULTICARE HEALTH SYSTEM, MULTICARE CAPITAL MEDICAL CENTER | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 274 | $34274.82 | 1518174879 - GOOD SHEPHERD HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 274 | $13667.00 | 1689744856 - JERSEY CITY MEDICAL CENTER | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 274 | $68679.03 | 1093945412 - MISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDENCE MISSION HOSPITAL | 951643360 - (CA) MISSION HOSPITAL REGIONAL MEDICAL CENTER | CA | Psychiatric Hospital Unit (273R00000X) |
United | 274 | $27520.86 | 1467635375 - UPMC KANE, UPMC KANE SNF | 250998168 - (PA) UPMC | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 274 | $36981.00 | 1134166069 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P., METHODIST HOSPITAL | 742730328 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 274 | $31615.73 | 1740273994 - ECTOR COUNTY HOSPITAL DISTRICT, MEDICAL CENTER HOSPITAL | 752302928 | TX | General Acute Care Hospital (282N00000X) |
United | 274 | $78680.40 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 274 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 274 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 274 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 |
|---|---|---|
| 273-APR-DRG | Moderate | Other Open Craniotomy |
| 273-MS-DRG | High | Percutaneous and Other Intracardiac Procedures with MCC |
| 274-MS-DRG | High | Percutaneous and Other Intracardiac Procedures without MCC |
| 275-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 274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 274 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 274) and we'll show you how you compare in 15 minutes or less.