MS-DRG 302 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 302 by major payers:
$13,953.95
$15,896.38
$18,283.44
$18,727.87
| 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 302 | ||||||
United | 302 | $7287.14 | 1760417646 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL | 461353294 | TX | Critical Access Hospital (282NC0060X) |
United | 302 | $13219.74 | 1477729952 - BLADEN HEALTHCARE, LLC, CAPE FEAR VALLEY BLADEN WOMEN'S HEALTH SPECIALISTS | 800164702 | NC | Critical Access Hospital Clinic/Center (261QC0050X) |
United | 302 | $17841.18 | 1952954307 - LEHIGH VALLEY HOSPITAL | 231689692 - LEHIGH VALLEY HOSPITAL | PA | Children's Hospital (282NC2000X) |
United | 302 | $11737.36 | 1447280284 - LORETTO HOSPITAL | 362200248 - (IL) LORETTO HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 302 | $2368.00 | 1154310514 - OKTIBBEHA COUNTY HOSPITAL, OCH REGIONAL MEDICAL CENTER | 640524079 - (MS) OKTIBBEHA COUNTY HOSPITAL | MS | Rural Acute Care Hospital (282NR1301X) |
United | 302 | $2665.00 | 1831160753 - CLEVELAND TENNESSEE HOSPITAL COMPANY LLC, SKYRIDGE MEDICAL CENTER | 621281627 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 302 | $25186.60 | 1093341711 - UPMC CARLISLE | 820880337 - (PA) UPMC CARLISLE | PA | General Acute Care Hospital (282N00000X) |
United | 302 | $18251.00 | 1730530940 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF FAMILY MEDICINE, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 302 | $26763.93 | 1437558558 - TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL, TEXAS HEALTH BEHAVIORAL HEALTH FACILITY ARLINGTON | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | Psychiatric Hospital Unit (273R00000X) |
United | 302 | $8608.41 | 1619072048 - RIVERVIEW HEALTHCARE ASSOCIATION | 410724029 - RIVERVIEW HEALTHCARE ASSOCIATION | MN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 302 | $29842.13 | 1831220714 - INOVA HEALTH CARE SERVICES, INOVA FAIRFAX HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 302 | $5129.00 | 1457399198 - MANCHESTER MEMORIAL HOSPITAL | 812216981 | CT | General Acute Care Hospital (282N00000X) |
United | 302 | $19313.10 | 1891712485 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVER MED CENTER - REHAB | 113465690 | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 302 | $17971.82 | 1225499379 - PROSPECT CCMC, LLC | 811507712 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 302 | $22028.75 | 1538123567 - ALLINA HEALTH SYSTEM, BUFFALO HOSPITAL | 363261413 - ALLINA HEALTH SYSTEM | MN | 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 302 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 302 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 302 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 |
|---|---|---|
| 301-APR-DRG | High | HIP JOINT REPLACEMENT |
| 301-MS-DRG | High | Peripheral Vascular Disorders without CC/MCC |
| 302-MS-DRG | High | Atherosclerosis with MCC |
| 303-APR-DRG | High | DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 302. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 302 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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