MS-DRG 299 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 299 by major payers:
$17,736.01
$20,074.32
$25,605.34
$26,015.37
| 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 299 | ||||||
United | 299 | $30088.98 | 1285732933 - ST MARYS HEALTH, INC., ASCENSION ST. VINCENT EVANSVILLE | 350869065 - (IN) UNITED STATES CATHOLIC CONFERENCE | IN | Psychiatric Hospital Unit (273R00000X) |
United | 299 | $37586.55 | 1477599975 - WINTER HAVEN HOSPITAL INC, CENTERS FOR BEHAVIORAL HEALTH | 590724462 - (FL) WINTER HAVEN HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 299 | $48914.60 | 1659787554 - BANNER HEALTH, BANNER FORT COLLINS MEDICAL CENTER | 450233470 - BANNER HEALTH | CO | General Acute Care Hospital (282N00000X) |
United | 299 | $8756.00 | 1285671248 - COLUMBIA/HCA JOHN RANDOLPH, INC., TRICITIES HOSPITAL | 611272888 - (VA) COLUMBIAHCA JOHN RANDOLPH INC | VA | General Acute Care Hospital (282N00000X) |
United | 299 | $25022.65 | 1003347279 - AHS PRYOR HOSPITAL, LLC, HILLCREST HOSPITAL PRYOR | 820651263 | OK | General Acute Care Hospital (282N00000X) |
United | 299 | $78866.09 | 1609970011 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK - PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Psychiatric Hospital (283Q00000X) |
United | 299 | $16386.28 | 1740273994 - ECTOR COUNTY HOSPITAL DISTRICT, MEDICAL CENTER HOSPITAL | 752302928 | TX | General Acute Care Hospital (282N00000X) |
United | 299 | $21277.91 | 1609189604 - UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC, UH AHUJA MEDICAL CENTER | 264827222 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | General Acute Care Hospital (282N00000X) |
United | 299 | $3822.37 | 1508836867 - GARFIELD COUNTY, GARFIELD MEMORIAL HOSPITAL | 876000309 | UT | Critical Access Hospital (282NC0060X) |
United | 299 | $69328.71 | 1326131301 - STAMFORD HOSPITAL | 60646917 - (CT) STAMFORD HOSPITAL | CT | Rehabilitation Hospital Unit (273Y00000X) |
United | 299 | $63066.98 | 1548301112 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 299 | $38765.05 | 1124487541 - MCLEOD MEDICAL CENTER-DILLON | 510473471 - MCLEOD MEDICAL CENTER DILLON | SC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 299 | $1500.00 | 1730303942 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER, S M RM C SENIOR LIFE | 640468873 | MS | Psychiatric Hospital Unit (273R00000X) |
United | 299 | $17486.25 | 1679555148 - CHRISTUS HEALTH CENTRAL LOUISIANA, CHRISTUS COUSHATTA HEALTH CARE CENTER | 720408984 - (LA) CHRISTUS HEALTH CENTRAL LOUISIANA | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 299 | $10284.00 | 1003925959 - HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA., HOOD MEMORIAL HOSPITAL | 720694946 - (LA) HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA | LA | Critical Access Hospital (282NC0060X) |
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 299 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 299 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 299 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 |
|---|---|---|
| 298-MS-DRG | High | Cardiac Arrest, Unexplained without CC/MCC |
| 299-MS-DRG | High | Peripheral Vascular Disorders with MCC |
| 300-APR-DRG | Moderate | Percutaneous Intracranial And Extracranial Vascular Procedures |
| 300-MS-DRG | High | Peripheral Vascular Disorders with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 299 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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