MS-DRG 292 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 292 by major payers:
$10,841.45
$12,948.09
$14,439.72
$14,116.23
| 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 292 | ||||||
United | 292 | $14284.00 | 1922052992 - HCA-HEALTHONE LLC, ROSE MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 292 | $34017.39 | 1235663402 - HARBORVIEW MEDICAL CENTER | 911631806 | WA | General Acute Care Hospital (282N00000X) |
United | 292 | $25037.66 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 292 | $24880.56 | 1740305119 - TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | 751748586 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE | TX | General Acute Care Hospital (282N00000X) |
United | 292 | $2602.00 | 1023061496 - CRESTWOOD HEALTHCARE LP, CRESTWOOD MEDICAL CENTER | 621647983 | AL | General Acute Care Hospital (282N00000X) |
United | 292 | $8177.08 | 1689606220 - TENET HEALTHSYSTEM HOSPITALS DALLAS, INC., RHD MEMORIAL MEDICAL CENTER | 271459658 - (TX) DALLAS MEDICAL CENTER, LLC | TX | General Acute Care Hospital (282N00000X) |
United | 292 | $6074.95 | 1396755393 - VALLEY MEDICAL FACILITIES, INC., HERITAGE VALLEY SEWICKLEY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Psychiatric Hospital Unit (273R00000X) |
United | 292 | $8547.41 | 1134172406 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP, MEDICAL CITY ARLINGTON | 621682201 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 292 | $10592.75 | 1285705988 - MIDLAND MEMORIAL HOSPITAL | 751584559 - (TX) MIDLAND COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 292 | $11829.84 | 1669475950 - HENDRICKS COUNTY HOSPITAL | 351361243 - HENDRICKS COUNTY HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 292 | $2500.00 | 1740298769 - DREW COUNTY MEMORIAL HOSPITAL | 352414105 - (AR) DREW MEMORIAL HOSPITAL INC | AR | General Acute Care Hospital (282N00000X) |
United | 292 | $13355.75 | 1366428161 - MARY GREELEY MEDICAL CENTER | 421347891 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 292 | $13659.49 | 1427065499 - MEMORIAL MEDICAL CENTER, CENTEGRA HOSPITAL WOODSTOCK | 362338884 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatric Hospital Unit (273R00000X) |
United | 292 | $14806.50 | 1083617120 - ESSENTIA HEALTH VIRGINIA, LLC, ESSENTIA HEALTH VIRGINIA | 460909870 | MN | General Acute Care Hospital (282N00000X) |
United | 292 | $13355.75 | 1366428161 - MARY GREELEY MEDICAL CENTER | 421347891 | IA | Psychiatric Hospital Unit (273R00000X) |
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 292 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 292 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 292 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 |
|---|---|---|
| 291-APR-DRG | Moderate | Other Percutaneous Intracranial Procedures |
| 291-MS-DRG | High | Heart Failure and Shock with MCC |
| 292-MS-DRG | High | Heart Failure and Shock with CC |
| 293-APR-DRG | Moderate | Other Percutaneous Intracranial Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 292. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 292 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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