MS-DRG 277 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 277 by major payers:
$53,230.86
$67,554.44
$76,286.42
$76,621.53
| 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 277 | ||||||
United | 277 | $94342.39 | 1225156888 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER KENOSHA | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 277 | $6034.00 | 1285064907 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 277 | $116728.82 | 1356901235 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 277 | $88407.45 | 1225034333 - PIEDMONT HENRY HOSPITAL, INC. | 582200195 - (GA) PIEDMONT HENRY HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 277 | $59071.00 | 1780668434 - HENRY MAYO NEWHALL MEMORIAL HOSPITAL, HENRY MAYO NEWHALL HOSPITAL | 952821104 - (CA) HENRY MAYO NEWHALL MEMORIAL HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 277 | $113269.10 | 1942267869 - MARIN GENERAL HOSPITAL | 942823538 - (CA) MARIN GENERAL HOSPITAL | CA | Psychiatric Hospital Unit (273R00000X) |
United | 277 | $89340.00 | 1902396708 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - COMMERCE CITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 277 | $12785.00 | 1588962625 - JERSEY CITY MEDICAL CENTER | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 277 | $225738.09 | 1841687787 - JOHN MUIR MEDICAL CENTER | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 277 | $50306.00 | 1588640692 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 277 | $54971.50 | 1497798847 - BAPTIST HEALTHCARE SYSTEM, INC., BAPTIST HEALTH FLOYD | 610444707 - BAPTIST HEALTHCARE SYSTEM INC | IN | General Acute Care Hospital (282N00000X) |
United | 277 | $22284.00 | 1063500270 - CROSBYTON CLINIC HOSPITAL | 750711276 - (TX) CROSBYTON CLINIC HOSPITAL | TX | Rural Acute Care Hospital (282NR1301X) |
United | 277 | $5526.00 | 1245227180 - ST FRANCIS MEDICAL CENTER | 850737566 | CA | General Acute Care Hospital (282N00000X) |
United | 277 | $24666.00 | 1811142359 - METHODIST HOSPITALS OF DALLAS, METHODIST RICHARDSON MEDICAL CENTER PSYCHIATRIC HOSPITAL | 750800661 - METHODIST HOSPITALS OF DALLAS | TX | Psychiatric Hospital Unit (273R00000X) |
United | 277 | $79440.50 | 1831220714 - INOVA HEALTH CARE SERVICES, INOVA FAIRFAX HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | 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 277 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 277 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 277 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 |
|---|---|---|
| 276-APR-DRG | Moderate | Ap-Drg: Non-Malignant Breast Disorders |
| 276-MS-DRG | High | Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator |
| 277-MS-DRG | High | Cardiac Defibrillator Implant without MCC |
| 278-MS-DRG | High | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 277. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 277 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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