MS-DRG 280 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 280 by major payers:
$19,901.23
$21,277.41
$25,630.63
$26,214.23
| 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 280 | ||||||
United | 280 | $13169.54 | 1376595132 - RUSSELLVILLE HOLDINGS LLC, SAINT MARY'S REGIONAL MEDICAL CENTER REHAB | 621771866 - (AR) RUSSELLVILLE HOLDINGS LLC | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 280 | $21338.19 | 1306832654 - ST. ALEXIUS MEDICAL CENTER, CHI ST. ALEXIUS HEALTH | 450226711 - ST ALEXIUS MEDICAL CENTER | ND | General Acute Care Hospital (282N00000X) |
United | 280 | $28113.90 | 1902865355 - GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 280 | $4602.00 | 1043462013 - GADSDEN REGIONAL MEDICAL CENTER LLC, GADSDEN REGIONAL MEDICAL CENTER | 631102774 | AL | General Acute Care Hospital (282N00000X) |
United | 280 | $17994.66 | 1962572396 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 280 | $500.00 | 1578799813 - PATIENTS CHOICE MEDICAL CENTER OF ERIN, TENNESSEE, LLC | 462490116 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 280 | $22791.00 | 1881885176 - ST. PETER'S HOSPITAL | 141348692 - (NY) ST PETERS HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 280 | $36121.23 | 1932427283 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BEHAVIORAL HEALTH CENTER | 730612674 | OK | Psychiatric Hospital Unit (273R00000X) |
United | 280 | $31476.00 | 1669562864 - UH REGIONAL HOSPITALS, UNIVERSITY HOSPITALS RICHMOND MEDICAL CENTER | 341924226 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | General Acute Care Hospital (282N00000X) |
United | 280 | $8359.00 | 1841290228 - MONARCH HEALTH CARE, A MEDICAL GROUP, INC., ORANGE COUNTY HOSPITALISTS PHYSICIANS (OCHP), INC. | 952585792 - (CA) MEMORIAL HEALTH SERVICES | CA | General Acute Care Hospital (282N00000X) |
United | 280 | $33937.58 | 1538522412 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 280 | $21291.56 | 1316197767 - CRANE COUNTY HOSPITAL DISTRICT | 352336501 - (TX) CRANE COUNTY HOSPITAL DISTRICT | TX | Critical Access Hospital (282NC0060X) |
United | 280 | $27534.49 | 1508815333 - ST JOSEPHS HOSPITAL HEALTH CENTER | 150532254 - ST JOSEPHS HOSPITAL HEALTH CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 280 | $21459.66 | 1205189172 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL OVERLOOK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 280 | $36935.30 | 1740254143 - AHS HOSPITAL CORP., OVERLOOK HOSPITAL | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | 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 280 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 280 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 280 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 |
|---|---|---|
| 279-APR-DRG | High | HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
| 279-MS-DRG | High | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC |
| 280-MS-DRG | High | Acute Myocardial Infarction, Discharged Alive with MCC |
| 281-APR-DRG | High | MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 280 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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