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See a sample rate comparisonMS-DRG 292 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.
HEART FAILURE AND SHOCK 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 292 by major payers:
$10,841.45
$12,948.09
$14,439.72
$14,116.23
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MS-DRG 292
5 of 25 sample ratesHigher to lower in this preview
Harborview Medical Center
$34,017.39Published rateGreat Plains Of Cheyenne Co. Inc, Cheyenne County Hospital
Great Plains Of Cheyenne Co Inc
$15,946.63Published rateOur Lady Of Lourdes Regional Medical Center Inc
$12,142.17Published rateGreene Memorial Hospital Inc, Kettering Health Greene Memorial
Greene Memorial Hospital Inc
$6,503.39Published rateDrew County Memorial Hospital
Drew Memorial Hospital Inc
$2,500.00Published rate
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See a sample payer proposalMS-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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