MS-DRG 276 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 276 by major payers:
$65,952.26
$86,952.16
$94,706.75
$99,622.13
| 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 276 | ||||||
United | 276 | $52392.23 | 1063422053 - VALLEY MEDICAL FACILITIES INC, VALLEY MEDICAL FACILITIES INC DBA HERITAGE VALLEY BEAVER | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 276 | $95715.86 | 1851305619 - FRYE REGIONAL MEDICAL CENTER, INC., FRYE REGIONAL MEDICAL CENTER -ALEXANDER CAMPUS | 352547114 | NC | General Acute Care Hospital (282N00000X) |
United | 276 | $68162.61 | 1831280957 - UPLAND HILLS HEALTH, INC., UPLAND HILLS HEALTH | 421017512 - (WI) UPLAND HILLS HEALTH INC | WI | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 276 | $99672.00 | 1780691675 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER | 953522679 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER INC | CA | General Acute Care Hospital (282N00000X) |
United | 276 | $100605.24 | 1962689661 - SAINT FRANCIS MEDICAL CENTER, CHI HEALTH ST. FRANCIS | 470376601 - (NE) SAINT FRANCIS MEDICAL CENTER | NE | Rehabilitation Hospital Unit (273Y00000X) |
United | 276 | $9240.00 | 1164478442 - OSCEOLASC LLC, ST CLOUD REGIONAL MEDICAL CENTER | 203728235 - (FL) OSCEOLASC LLC | FL | General Acute Care Hospital (282N00000X) |
United | 276 | $135537.62 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 276 | $123404.84 | 1316137201 - MEDSTAR GEORGETOWN MEDICAL CENTER, INC, GEORGETOWN UNIVERSITY HOSPITAL PHYSICIANS | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | DC | General Acute Care Hospital (282N00000X) |
United | 276 | $51598.00 | 1326085424 - JFK MEDICAL CENTER LIMITED PARTNERSHIP, HCA FLORIDA JFK HOSPITAL | 621694180 - (FL) JFK MEDICAL CENTER LIMITED PARTNERSHIP | FL | General Acute Care Hospital (282N00000X) |
United | 276 | $9793.00 | 1154315307 - SCOTT & WHITE HOSPITAL BRENHAM, BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | 742519752 - (TX) SCOTT & WHITE HOSPITAL BRENHAM | TX | Critical Access Hospital (282NC0060X) |
United | 276 | $121552.24 | 1245597418 - SOUTHCOAST HOSPITALS GROUP | 222592333 - SOUTHCOAST HOSPITALS GROUP INC | MA | General Acute Care Hospital (282N00000X) |
United | 276 | $9334.00 | 1972531218 - DR SUSONI HEALTH COMMUNITY SERVICES CORP, HOSPITAL PAVIA ARECIBO | 660520807 - (PR) DR. SUSONI HEALTH COMMUNITY SERVICE CORP DBA HOSP CAYETANO COLI Y TOST | PR | General Acute Care Hospital (282N00000X) |
United | 276 | $40406.07 | 1295764330 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 276 | $74388.00 | 1477703783 - UCSF MEDICAL CENTER | 943281657 | CA | General Acute Care Hospital (282N00000X) |
United | 276 | $133984.87 | 1912122532 - ABRAHAM LINCOLN MEMORIAL HOSPITAL | 370723793 - (IL) MEMORIAL HEALTH SYSTEM | IL | 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 276 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 276 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 276 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 |
|---|---|---|
| 275-APR-DRG | Moderate | Other Open Craniotomy |
| 275-MS-DRG | High | Cardiac Defibrillator Implant with Cardiac Catheterization and MCC |
| 276-MS-DRG | High | Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator |
| 277-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 276. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 276 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 276) and we'll show you how you compare in 15 minutes or less.