MS-DRG 275 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 275 by major payers:
$79,551.88
$99,153.01
$107,690.08
$113,805.15
| 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 275 | ||||||
United | 275 | $58090.73 | 1073566246 - PUBLIC HOSPITAL DIST NO 1 SKAGIT, CASCADE VALLEY HOSPITAL | 562392010 | WA | General Acute Care Hospital (282N00000X) |
United | 275 | $5761.00 | 1598196206 - EBD BEMC BURLESON, LLC, BAYLOR EMERGENCY MEDICAL CENTER AT MANSFIELD | 364755936 | TX | General Acute Care Hospital (282N00000X) |
United | 275 | $141074.82 | 1184038663 - NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NJ | General Acute Care Hospital (282N00000X) |
United | 275 | $222702.37 | 1902463243 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | Psychiatric Hospital Unit (273R00000X) |
United | 275 | $65998.71 | 1447379953 - MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC., MCCURTAIN MEMORIAL HOSPITAL NEW DIRECTIONS | 736617937 - (OK) MCCURTAIN MEMORIAL MEDICAL MANAGEMENT INC | OK | Psychiatric Hospital Unit (273R00000X) |
United | 275 | $75670.03 | 1518924109 - TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1, TERREBONNE GENERAL MEDICAL CENTER | 720880258 - (LA) TERREBONNE HOSPITAL SERVICE DISTRICT NO 1 | LA | General Acute Care Hospital (282N00000X) |
United | 275 | $171812.90 | 1841248713 - SUNY HEALTHSCIENCE CENTER AT SYRACUSE, UPSTATE MEDICAL UNIVERSITY | 161469571 | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 275 | $104853.07 | 1851568687 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 275 | $96573.39 | 1003232976 - BANNER HEALTH, BANNER CASA GRANDE MEDICAL CENTER | 450233470 - BANNER HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 275 | $130690.03 | 1164464921 - MERCY HOSPITAL OF BUFFALO | 160756336 - (NY) MERCY HOSPITAL OF BUFFALO | NY | General Acute Care Hospital (282N00000X) |
United | 275 | $48973.05 | 1518510296 - UHS OF OKLAHOMA, LLC, ST MARY'S REGIONAL MEDICAL CENTER | 233041933 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 275 | $72890.89 | 1871572545 - VHS ACQUISITION SUBSIDIARY NUMBER 3 INC, LOUIS A. WEISS MEMORIAL HOSPITAL | 352637418 | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 275 | $108216.96 | 1427616002 - NYU LANGONE HOSPITALS, NYU LANGONE HOSPITAL LONG ISLAND | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 275 | $87341.04 | 1508979683 - INDIANA ORTHOPAEDIC HOSPITAL, LLC, ORTHOINDY HOSPITAL | 470933538 - (IN) INDIANA ORTHOPAEDIC HOSPITAL LLC | IN | Special Hospital (284300000X) |
United | 275 | $116745.03 | 1497153530 - PRIME HEALTHCARE SERVICES NORTH VISTA LLC | 200470861 | NV | Psychiatric Hospital Unit (273R00000X) |
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 275 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 275 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 275 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 |
|---|---|---|
| 274-APR-DRG | Moderate | Other Open Craniotomy |
| 274-MS-DRG | High | Percutaneous and Other Intracardiac Procedures without MCC |
| 275-MS-DRG | High | Cardiac Defibrillator Implant with Cardiac Catheterization and MCC |
| 276-APR-DRG | Moderate | Ap-Drg: Non-Malignant Breast 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 275. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 275 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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