MS-DRG 301 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 301 by major payers:
$8,853.25
$10,175.85
$12,167.66
$12,476.00
| 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 301 | ||||||
United | 301 | $8630.00 | 1427069632 - EDWARD HOSPITAL | 363297173 - (IL) EDWARD HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 301 | $5584.93 | 1295882561 - COPLEY MEMORIAL HOSPITAL, INC. | 362170840 - (IL) COPLEY MEMORIAL HOSPITAL INC | IL | General Acute Care Hospital (282N00000X) |
United | 301 | $3820.85 | 1922300649 - FIVE RIVERS MEDICAL CENTER INC., ST. BERNARDS FIVE RIVERS MEDICAL CENTER | 273970823 - (AR) FIVE RIVERS MEDICAL CENTER INC | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 301 | $2954.00 | 1861411985 - TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC, TAKOMA ADVENTIST HOSPITAL | 510603966 - TAKOMA REGIONAL HOSPITAL INC | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 301 | $14054.04 | 1629297478 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | GA | Psychiatric Hospital Unit (273R00000X) |
United | 301 | $6834.37 | 1881788933 - BAXTER COUNTY REGIONAL HOSPITAL, INC, BAXTER HEALTH | 710561765 - BAXTER COUNTY REGIONAL HOSPITAL INC | AR | General Acute Care Hospital (282N00000X) |
United | 301 | $9951.25 | 1801827670 - BROOKWOOD HEALTH SERVICES, INC., BROOKWOOD MEDICAL CENTER | 474757851 | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 301 | $12292.32 | 1285719385 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 301 | $8385.13 | 1407887193 - MEDICINE LODGE MEMORIAL HOSPITAL | 480579742 | KS | Critical Access Hospital (282NC0060X) |
United | 301 | $6912.02 | 1316412034 - RESILIENCE HEALTHCARE, LOUIS A. WEISS MEMORIAL HOSPITAL | 352637418 | IL | General Acute Care Hospital (282N00000X) |
United | 301 | $11874.54 | 1124026273 - PROVIDENCE SAINT JOHN'S HEALTH CENTER | 951684082 - (CA) PROVIDENCE SAINT JOHNS HEALTH CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 301 | $12612.44 | 1669951364 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH BAPTIST HOSPITAL O/P SERVICES | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 301 | $7438.62 | 1275037921 - CBCH LLC | 823300758 - (MO) COX BARTON COUNTY HOSPITAL | MO | Critical Access Hospital (282NC0060X) |
United | 301 | $6026.00 | 1841241841 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | General Acute Care Hospital (282N00000X) |
United | 301 | $8236.29 | 1497750244 - WEST TENNESSEE HEALTHCARE HENRY COUNTY | 626007078 | TN | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 301 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 301 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 301 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 |
|---|---|---|
| 300-APR-DRG | Moderate | Percutaneous Intracranial And Extracranial Vascular Procedures |
| 300-MS-DRG | High | Peripheral Vascular Disorders with CC |
| 301-MS-DRG | High | Peripheral Vascular Disorders without CC/MCC |
| 302-APR-DRG | High | KNEE JOINT REPLACEMENT |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 301 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 301) and we'll show you how you compare in 15 minutes or less.