MS-DRG 293 Fee Schedule

Last Verified: January 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 without CC/MCC

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 293 by major payers:

$7,757.14

$10,862.54

$9,877.00

$9,283.43

Preview provider-level rates for...

For billing codeMS-DRG 293

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 293
United	293	$8491.00	1033611454 - UNIVERSITY HEALTHCARE SYSTEM, L.C., LAKEVIEW CAMPUS NICU	621596506	LA	General Acute Care Hospital (282N00000X)
United	293	$9836.62	1184639973 - THE GRIFFIN HOSPITAL	60647014 - (CT) GRIFFIN HOSPITAL	CT	General Acute Care Hospital (282N00000X)
United	293	$9419.20	1376031757 - PRIME HEALTHCARE SERVICES	471669781 - (MO) PRIME HEALTHCARE SERVICES - KANSAS CITY LLC	MO	Psychiatric Hospital Unit (273R00000X)
United	293	$5754.81	1699767491 - NEW ENGLAND BAPTIST HOSPITAL	42103612 - (MA) NEW ENGLAND BAPTIST HOSPITAL	MA	General Acute Care Hospital (282N00000X)
United	293	$5493.22	1699769901 - CURATORS OF THE UNIVERSITY OF MISSOURI, UNIVERSITY OF MISSOURI HEALTH CARE	436003859	MO	General Acute Care Hospital (282N00000X)
United	293	$11848.08	1770515991 - GOOD SAMARITAN MEDICAL CENTER, INC., GOOD SAMARITAN MEDICAL CENTER	752932824	FL	General Acute Care Hospital (282N00000X)
United	293	$9389.36	1477583334 - NEW MEDICAL HORIZONS II, LTD., CYPRESS FAIRBANKS MEDICAL CENTER HOSPITAL	742129954 - (TX) NEW MEDICAL HORIZONS II LTD	TX	General Acute Care Hospital (282N00000X)
United	293	$6222.68	1760549562 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COX MEDICAL CENTER BRANSON	440577118 - LESTER E COX MEDICAL CENTER	MO	Rehabilitation Hospital Unit (273Y00000X)
United	293	$9838.87	1588683296 - WEST PENN ALLEGHENY HEALTH SYSTEM INC., ALLEGHENY GENERAL HOSPITAL	250969492 - (PA) HIGHMARK HEALTH	PA	Psychiatric Hospital Unit (273R00000X)
United	293	$11712.00	1598337339 - STEWARD NSMC, INC., SWING BED	862695690	FL	Medicare Defined Swing Bed Hospital Unit (275N00000X)
United	293	$7577.54	1831970532 - VHS SAN ANTONIO PARTNERS, LLC	760714523	TX	General Acute Care Hospital (282N00000X)
United	293	$6598.08	1982656575 - METHODIST MEDICAL CENTER OF ILLINOIS	370661223 - METHODIST MEDICAL CENTER OF ILLINOIS	IL	Rehabilitation Hospital Unit (273Y00000X)
United	293	$7899.08	1962498733 - CENTRAL MONTGOMERY MEDICAL CENTER L L C	263359979 - (PA) LANSDALE HOSPITAL CORPORATION	PA	General Acute Care Hospital (282N00000X)
United	293	$12583.88	1114949781 - CARLSBAD MEDICAL CENTER LLC, CARLSBAD MEDICAL CENTER - REHAB	621762526 - (NM) CARLSBAD MEDICAL CENTER LLC	NM	Rehabilitation Hospital Unit (273Y00000X)
United	293	$12463.00	1487045100 - PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA, LLC, HCA FLORIDA PUTNAM HOSPITAL	472762362	FL	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 293 vs. Other Diseases & Disorders of the Circulatory System Codes

The MS-DRG 293 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 293 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
292-APR-DRG	Moderate	Other Percutaneous Intracranial Procedures
292-MS-DRG	High	Heart Failure and Shock with CC
293-MS-DRG	High	Heart Failure and Shock without CC/MCC
294-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 293. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 293 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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