MS-DRG 306 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 306 by major payers:
$18,568.39
$19,617.08
$23,529.18
$23,938.48
| 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 306 | ||||||
United | 306 | $28360.75 | 1962583823 - SAINT CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | Rural Acute Care Hospital (282NR1301X) |
United | 306 | $31040.28 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 306 | $9693.00 | 1720371065 - LONG BEACH MEMORIAL MEDICAL, COMMUNITY HOSPITAL LONG BEACH | 953527031 - (CA) LONG BEACH MEMORIAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 306 | $4158.00 | 1821477456 - JOHNSTON MEMORIAL HOSPITAL, INC, CENTER FOR SLEEP DISORDERS AT JMH | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 306 | $19461.71 | 1003244781 - BYRD REGIONAL HOSPITAL | 824337635 | LA | Rural Acute Care Hospital (282NR1301X) |
United | 306 | $14238.78 | 1942392600 - THE FINLEY HOSPITAL, UNITYPOINT HEALTH - FINLEY HOSPTIAL | 420680354 - THE FINLEY HOSPITAL | IA | General Acute Care Hospital (282N00000X) |
United | 306 | $9767.54 | 1093819393 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST ORANGE HOSPITAL | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 306 | $22833.84 | 1629015573 - LSUMC UNIVERSITY MEDICAL CENTER | 462605366 - (LA) UNIVERSITY HOSPITAL & CLINICS INC | LA | General Acute Care Hospital (282N00000X) |
United | 306 | $24472.00 | 1669752234 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 306 | $28045.06 | 1154764819 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 306 | $27993.89 | 1780971127 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER PSYCH | 452663071 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 306 | $12145.11 | 1972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | 351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INC | IN | General Acute Care Hospital (282N00000X) |
United | 306 | $49986.21 | 1366541989 - NYU LANGONE HOSPITALS | 133971298 - NYU LANGONE HOSPITALS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 306 | $13746.12 | 1962662379 - BROADLAWNS MEDICAL CENTER | 426005830 - (IA) BROADLAWNS MEDICAL CENTER | IA | Psychiatric Hospital Unit (273R00000X) |
United | 306 | $33445.92 | 1336107028 - SOUTHWESTERN MEDICAL CENTER, LLC, SOUTHWESTERN MEDICAL CENTER | 621757662 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 306 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 306 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 306 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 |
|---|---|---|
| 305-APR-DRG | High | AMPUTATION OF LOWER LIMB EXCEPT TOES |
| 305-MS-DRG | High | Hypertension without MCC |
| 306-MS-DRG | High | Cardiac Congenital and Valvular Disorders with MCC |
| 307-APR-DRG | Moderate | Percutaneous Intracranial And Extracranial Vascular Procedures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 306 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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