MS-DRG 290 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 290 by major payers:
$15,035.35
$14,928.89
$15,774.60
$16,159.12
| 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 290 | ||||||
United | 290 | $5404.00 | 1235940909 - TENOR HEALTH FOUNDATION SHARON, LLC | 332621724 | PA | General Acute Care Hospital (282N00000X) |
United | 290 | $4120.00 | 1134448541 - SMYTH COUNTY COMMUNITY HOSPITAL, SOUTHWEST VIRGINIA INPATIENT REHABILITAION UNIT | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 290 | $7243.00 | 1205089026 - PRIME HEALTHCARE SERVICES | 263487583 | CA | General Acute Care Hospital (282N00000X) |
United | 290 | $20200.30 | 1154748416 - AGH LAVEEN LLC, DIGNITY HEALTH ARIZONA GENERAL HOSPITAL | 471587223 - (AZ) AGH LAVEEN LLC | AZ | General Acute Care Hospital (282N00000X) |
United | 290 | $9013.65 | 1386178721 - CLARKSDALE REGIONAL MEDICAL CENTER, INC., NORTHWEST MISSISSIPPI MEDICAL CENTER | 853959101 | MS | General Acute Care Hospital (282N00000X) |
United | 290 | $20492.42 | 1679545966 - COMMUNITY HEALTH NETWORK, INC., COMMUNITY HOSPITAL NORTH | 743230935 | IN | Psychiatric Hospital Unit (273R00000X) |
United | 290 | $9027.99 | 1972982882 - UPMC GREENE, WASHINGTON HEALTH SYSTEM GREENE | 473884840 - (PA) TGCH INC | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 290 | $7087.00 | 1790785913 - TRINITAS REGIONAL MEDICAL CENTER, TRINITAS HOSPITAL - AMBULANCE | 223601678 - (NJ) RWJ BARNABAS HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 290 | $3775.00 | 1669513941 - SHRINERS HOSPITALS FOR CHILDREN | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | TX | Children's Hospital (282NC2000X) |
United | 290 | $5404.00 | 1235940909 - TENOR HEALTH FOUNDATION SHARON, LLC | 332621724 | PA | General Acute Care Hospital (282N00000X) |
United | 290 | $21050.93 | 1295708287 - AUGUSTA HEALTH CARE, INC | 541453954 - AUGUSTA HEALTH CARE INC | VA | Psychiatric Hospital Unit (273R00000X) |
United | 290 | $17187.25 | 1932157385 - CHRIST HOSPITAL, THE CHRIST HOSPITAL | 310538525 - CHRIST HOSPITAL | OH | Psychiatric Hospital Unit (273R00000X) |
United | 290 | $10073.91 | 1508172339 - PEDIATRIC EXPRESS CARE LTD. | 362170840 - (IL) COPLEY MEMORIAL HOSPITAL INC | IL | Children's Hospital (282NC2000X) |
United | 290 | $16097.70 | 1720078041 - BAY COUNTY HEALTH SYSTEM, LLC, ASCENSION SACRED HEART BAY | 900799724 | FL | General Acute Care Hospital (282N00000X) |
United | 290 | $5404.00 | 1790219616 - STEWARD SHARON REGIONAL HEALTH SYSTEM, INC. | 332621724 | PA | 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 290 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 290 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 290 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 |
|---|---|---|
| 289-MS-DRG | High | Acute and Subacute Endocarditis with CC |
| 290-MS-DRG | High | Acute and Subacute Endocarditis without CC/MCC |
| 291-APR-DRG | Moderate | Other Percutaneous Intracranial Procedures |
| 291-MS-DRG | High | Heart Failure and Shock with 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 290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 290 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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