MS-DRG 307 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 307 by major payers:
$11,867.21
$12,795.41
$14,716.80
$15,058.18
| 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 307 | ||||||
United | 307 | $8306.00 | 1699752923 - PRIME HEALTHCARE SERVICES LANDMARK LLC, LANDMARK MEDICAL CENTER | 461175423 - LANDMARK MEDICAL CENTER | RI | General Acute Care Hospital (282N00000X) |
United | 307 | $27606.72 | 1811237985 - PRISMA HEALTH-MIDLANDS, PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 307 | $19850.90 | 1063072932 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 307 | $20623.51 | 1891870994 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 307 | $25050.77 | 1902283740 - MCLEOD HEALTH CHERAW | 473712858 - MCLEOD HEALTH CHERAW | SC | General Acute Care Hospital (282N00000X) |
United | 307 | $10585.46 | 1588654966 - ST. JAMES PARISH HOSP. SERV. DIST. | 726010747 - (LA) ST JAMES PARISH HOSPITAL | LA | Critical Access Hospital (282NC0060X) |
United | 307 | $15806.00 | 1568785137 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 307 | $13799.66 | 1386779031 - ADVOCATE LUTHERAN GENERAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 307 | $22171.83 | 1275566200 - BANNER ESTRELLA MEDICAL CENTER | 900065118 - (AZ) BANNER ESTRELLA MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 307 | $4457.00 | 1962999664 - FLOYD CHEROKEE MEDICAL CENTER LLC, ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER | 825207287 | AL | General Acute Care Hospital (282N00000X) |
United | 307 | $10845.67 | 1932145505 - MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC | 200561474 - (OK) MCBRIDE ORTHOPEDIC HOSPITAL | OK | General Acute Care Hospital (282N00000X) |
United | 307 | $5242.41 | 1063422053 - VALLEY MEDICAL FACILITIES INC, VALLEY MEDICAL FACILITIES INC DBA HERITAGE VALLEY BEAVER | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 307 | $4457.00 | 1962999664 - FLOYD CHEROKEE MEDICAL CENTER LLC, ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER | 825207287 | AL | General Acute Care Hospital (282N00000X) |
United | 307 | $10183.91 | 1427133883 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 307 | $18581.61 | 1154329753 - ABRAHAM LINCOLN MEMORIAL HOSPITAL | 370723793 - (IL) MEMORIAL HEALTH SYSTEM | IL | 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 307 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 307 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 307 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 |
|---|---|---|
| 306-APR-DRG | Moderate | Percutaneous Intracranial And Extracranial Vascular Procedures |
| 306-MS-DRG | High | Cardiac Congenital and Valvular Disorders with MCC |
| 307-MS-DRG | High | Cardiac Congenital and Valvular Disorders without MCC |
| 308-APR-DRG | High | HIP & FEMUR FRACTURE REPAIR |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 307 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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