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See a sample rate comparisonMS-DRG 289 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 AND SUBACUTE ENDOCARDITIS 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 289 by major payers:
$20,483.12
$21,437.31
$24,831.03
$25,359.95
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MS-DRG 289
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$54,834.46Published rateLongmont United Hospital, Behavioral Health Psychiatric Unit
Longmont United Hospital
$31,691.00Published rateThe Brookdale Hospital Medical Center
Brookdale Hospital Medical Center
$21,722.19Published rateMethodist Healthcare System Of San Antonio, Ltd., L.L.P., Methodist Hospital Stone Oak
$13,687.00Published rateHouston County Healthcare Authority, Southeast Alabama Medical Center
$3,002.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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