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See a sample rate comparisonMS-DRG 278 Fee Schedule
Last Verified: October 2026
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.
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
| 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 278 by major payers:
$51,417.83
$68,990.71
$76,111.26
$80,837.84
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MS-DRG 278
5 of 25 sample ratesHigher to lower in this preview
Texas Health Huguley, Inc., Texas Health Huguley Hospital Fort Worth South
Texas Health Huguley Inc
$161,356.43Published rateMount St. Mary'S Hospital Of Niagara Falls, Mount St. Mary'S Hospital And Health Center
Mount St Marys Hospital Of Niagara Falls
$92,526.03Published rateBbh Bmc, LLC, Brookwood Medical Center
$69,795.46Published rateEast Texas Medical Center Rehabilitation Hospital
$53,455.26Published rateArlington Orthopedic And Spine Hospital, LLC, Baylor Scott & White Orthopedic And Spine Hospital
Arlington Orthopedic And Spine Hospital LLC
$5,185.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 278 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 278 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 278 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 |
|---|---|---|
| 277-APR-DRG | Moderate | Other Open Craniotomy |
| 277-MS-DRG | High | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC |
| 278-MS-DRG | High | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC |
| 279-APR-DRG | High | HEPATIC COMA & OTHER MAJOR ACUTE LIVER 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 278. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 278 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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