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See a sample rate comparisonMS-DRG 281 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.
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
| 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 281 by major payers:
$12,595.99
$13,045.34
$15,296.60
$15,563.48
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MS-DRG 281
5 of 25 sample ratesHigher to lower in this preview
Westchester County Health Care Corporation, Mid-Hudson Valley Division Of Westchester Medical Center
Peo Mid-Hudson Valley Staffco
$38,506.35Published rateCitizens Baptist Medical Center, Citizens Baptist Medical Center
$15,543.62Published rateResilience Healthcare, Louis A. Weiss Memorial Hospital
$9,836.53Published rateNorton County Hospital
$8,304.79Published rateTemecula Valley Hospital Inc, Temecula Valley Hospital
Temecula Valley Hospital Inc
$3,229.00Published rate
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See a sample payer proposalMS-DRG 281 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 281 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 281 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 |
|---|---|---|
| 280-APR-DRG | High | ALCOHOLIC LIVER DISEASE |
| 280-MS-DRG | High | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC |
| 281-MS-DRG | High | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC |
| 282-APR-DRG | High | DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 281. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 281 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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