MS-DRG 298 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 298 by major payers:
$7,424.43
$7,464.65
$7,214.00
$7,568.65
| 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 298 | ||||||
United | 298 | $13916.45 | 1568454403 - DEAF SMITH COUNTY HOSPITAL DISTRICT, HEREFORD REGIONAL MEDICAL CENTER | 756001297 | TX | General Acute Care Hospital (282N00000X) |
United | 298 | $8212.16 | 1558356709 - ST. MARY'S MEDICAL CENTER | 472264005 | MO | Rehabilitation Hospital (283X00000X) |
United | 298 | $6852.97 | 1205176062 - PASCACK VALLEY HOSPITAL LLC, HACKENSACKUMC AT PASCACK VALLEY | 264051248 | NJ | General Acute Care Hospital (282N00000X) |
United | 298 | $6018.00 | 1104897859 - CRESTVIEW HOSPITAL COMPANY, LLC, NORTH OKALOOSA MEDICAL CENTER | 650460321 | FL | General Acute Care Hospital (282N00000X) |
United | 298 | $2500.00 | 1588228936 - CLHG-AVOYELLES LLC | 813465468 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 298 | $17815.00 | 1750722351 - PALISADES MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 298 | $6288.04 | 1699541870 - STATE UNIVERSITY OF IOWA, UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNTOWN | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 298 | $3227.39 | 1689857385 - PHYSICIANS MEDICAL CENTER LLC | 205071967 - PHYSICIANS MEDICAL CENTER, LLC | IN | General Acute Care Hospital (282N00000X) |
United | 298 | $7077.35 | 1073500419 - SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC | 362510771 - MIDWESTERN REGIONAL MEDICAL CENTER INC | OK | Special Hospital (284300000X) |
United | 298 | $7802.18 | 1649355702 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 298 | $9307.87 | 1346291309 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER | 560554230 - PRESBYTERIAN HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 298 | $4030.07 | 1225313448 - CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC, CRYSTAL CLINIC ORTHOPAEDIC CENTER - WADSWORTH | 261130649 - (OH) CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC | OH | Special Hospital (284300000X) |
United | 298 | $4011.08 | 1568027076 - TRIHEALTH HOSPITAL , INC | 310537486 - (OH) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | OH | General Acute Care Hospital (282N00000X) |
United | 298 | $10418.00 | 1497702575 - ORANGE COAST MEMORIAL MEDICAL CENTER | 330687414 - (CA) MEMORIAL HEALTH SERVICES | CA | General Acute Care Hospital (282N00000X) |
United | 298 | $6196.00 | 1972664530 - BAPTIST HEALTH CARE, INC., GULF BREEZE HOSPITAL | 590657322 - BAPTIST HEALTH CARE INC | 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 298 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 298 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 298 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 |
|---|---|---|
| 297-MS-DRG | High | Cardiac Arrest, Unexplained with CC |
| 298-MS-DRG | High | Cardiac Arrest, Unexplained without CC/MCC |
| 299-APR-DRG | Moderate | Other Percutaneous Intracranial Procedures |
| 299-MS-DRG | High | Peripheral Vascular Disorders 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 298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 298 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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