MS-DRG 289 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 289 by major payers:
$20,483.12
$21,437.31
$24,831.03
$25,359.95
| 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 289 | ||||||
United | 289 | $30774.02 | 1831157205 - COMMUNITY MERCY HEALTH PARTNERS, MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER | 310785684 - COMMUNITY MERCY HEALTH PARTNERS | OH | Rehabilitation Hospital Unit (273Y00000X) |
United | 289 | $15065.15 | 1770678617 - CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ERLANGER BLEDSOE | 626000101 - ERLANGER MEDICAL CENTER | TN | Critical Access Hospital (282NC0060X) |
United | 289 | $8241.00 | 1821244757 - JOHN T MATHER MEMORIAL HOSPITAL, INTENSIVISTS | 111639818 - (NY) JOHN T MATHER MEMORIAL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 289 | $3120.00 | 1013942432 - PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA, JACKSON NORTH MEDICAL CENTER PSY | 591713947 - (FL) PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY FLORIDA | FL | Psychiatric Hospital Unit (273R00000X) |
United | 289 | $13189.09 | 1255639100 - ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | 370661244 - (IL) ST MARYS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | IL | Psychiatric Hospital Unit (273R00000X) |
United | 289 | $16980.61 | 1891870994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 289 | $31691.00 | 1528081023 - LONGMONT UNITED HOSPITAL, BEHAVIORAL HEALTH PSYCHIATRIC UNIT | 840460697 - LONGMONT UNITED HOSPITAL | CO | Psychiatric Hospital Unit (273R00000X) |
United | 289 | $20208.56 | 1669991675 - TOPEKA HOSPITAL, LLC, THE UNIVERSITY OF KANSAS HEALTH SYSTEM, ST. FRANCIS CAMPUS | 822034009 | KS | Rehabilitation Hospital Unit (273Y00000X) |
United | 289 | $47024.85 | 1336206580 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 289 | $37604.30 | 1689129496 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH PEDS MULTIDISCIPLINARY CLINIC | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 289 | $54834.46 | 1215969787 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 289 | $28404.25 | 1982733655 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 289 | $10303.00 | 1659325629 - HCA HEALTHONE LLC, SKY RIDGE MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 289 | $40252.00 | 1902814866 - PARKLAND HEALTH CENTER, PARKLAND HEALTH CENTER - FARMINGTON | 431332368 - (MO) PARKLAND HEALTH CENTER | MO | Psychiatric Hospital Unit (273R00000X) |
United | 289 | $21722.19 | 1487724712 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | 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 289 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 289 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 289 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 |
|---|---|---|
| 288-MS-DRG | High | Acute and Subacute Endocarditis with MCC |
| 289-MS-DRG | High | Acute and Subacute Endocarditis with CC |
| 290-MS-DRG | High | Acute and Subacute Endocarditis without CC/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 289. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 289 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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