MS-DRG 303 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 303 by major payers:
$8,715.99
$9,580.70
$10,875.02
$11,205.77
| 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 303 | ||||||
United | 303 | $4674.00 | 1992809305 - ST. VINCENT'S ST. CLAIR, LLC, ASCENSION ST. VINCENT'S ST. CLAIR | 631146531 - (AL) ST VINCENTS ST CLAIR LLC | AL | General Acute Care Hospital (282N00000X) |
United | 303 | $9634.82 | 1902826779 - BOCA RATON REGIONAL HOSPITAL, INC., BOCA RATON COMMUNITY HOSPITAL, INC. | 591006663 - (FL) BOCA RATON REGIONAL HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 303 | $21738.01 | 1396028205 - ANMED HEALTH, ANMED PEDIATRIC HOSPITALISTS | 570359174 - ANMED HEALTH | SC | Hospitalist Physician (208M00000X) |
United | 303 | $4023.63 | 1285718478 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | 370673512 - IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 303 | $9785.44 | 1245363563 - THEDA CLARK PHARMACY | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 303 | $2805.00 | 1053340158 - WELLMONT HEALTH SYSTEM, HANCOCK COUNTY HOSPITAL | 621636465 - WELLMONT HEALTH SYSTEM | TN | Critical Access Hospital (282NC0060X) |
United | 303 | $15135.04 | 1689693434 - FRANCISCAN HEALTH SYSTEM, ST. JOSEPH MEDICAL CENTER | 910564491 - (WA) FRANCISCAN HEALTH SYSTEM | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 303 | $14755.87 | 1578648614 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 303 | $13116.33 | 1295708287 - AUGUSTA HEALTH CARE, INC | 541453954 - AUGUSTA HEALTH CARE INC | VA | Psychiatric Hospital Unit (273R00000X) |
United | 303 | $21385.67 | 1861650780 - CHILDRENS NATIONAL MEDICAL CENTER | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 303 | $11396.98 | 1538535158 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 303 | $13448.00 | 1316158793 - ST. JOSEPH'S HOSPITAL | 580566257 - (GA) SAINT JOSEPHS HOSPITAL OF ATLANTA INC | GA | Critical Access Hospital (282NC0060X) |
United | 303 | $10045.24 | 1184699118 - PALOS COMMUNITY HOSPITAL | 362169179 - (IL) NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatric Hospital Unit (273R00000X) |
United | 303 | $8276.00 | 1902901333 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | General Acute Care Hospital (282N00000X) |
United | 303 | $12865.86 | 1992131734 - DIGNITY HEALTH, ST. JOSEPH'S WESTGATE MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | 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 303 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 303 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 303 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 |
|---|---|---|
| 302-APR-DRG | High | KNEE JOINT REPLACEMENT |
| 302-MS-DRG | High | Atherosclerosis with MCC |
| 303-MS-DRG | High | Atherosclerosis without MCC |
| 304-APR-DRG | High | DORSAL & LUMBAR FUSION PROC EXCEPT 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 303. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 303 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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