MS-DRG 309 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 309 by major payers:
$9,258.28
$10,326.03
$11,964.47
$12,208.76
| 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 309 | ||||||
United | 309 | $11290.44 | 1609869916 - APPALACHIAN REGIONAL HEALTHCARE, INC., HAZARD ARH REGIONAL MEDICAL CENTER | 520795508 - APPALACHIAN REGIONAL HEALTHCARE INC | KY | General Acute Care Hospital (282N00000X) |
United | 309 | $7636.97 | 1184148959 - CHESTNUT HILL HOSPITAL, LLC, CHESTNUT HILL HOSPITAL | 883577015 | PA | General Acute Care Hospital (282N00000X) |
United | 309 | $16659.39 | 1346250594 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE ST PETER HOSPITAL | 910567732 | WA | General Acute Care Hospital (282N00000X) |
United | 309 | $16458.30 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 309 | $3466.71 | 1215005129 - PHC-LOS ALAMOS INC, LOS ALAMOS MEDICAL CENTER - SWING BED UNIT | 30390794 | NM | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 309 | $7906.02 | 1013009828 - MINNEOLA DISTRICT HOSPITAL NBR 2 | 486088051 | KS | Critical Access Hospital (282NC0060X) |
United | 309 | $2000.00 | 1225132863 - DOCTORS HOSPITAL AT RENAISSANCE, LTD, HOSPITAL - REHABILITATION UNIT | 742802643 - (TX) DOCTORS HOSPITAL AT RENAISSANCE | TX | Rehabilitation Hospital (283X00000X) |
United | 309 | $10889.00 | 1346228541 - AGNESIAN HEALTHCARE, INC, SSM HEALTH ST AGNES HOSPITAL FOND DU LAC | 390807236 - AGNESIAN HEALTHCARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 309 | $13082.80 | 1851371959 - MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC, IDAHO DOCTORS HOSPITAL | 470917144 - (ID) MOUNTAIN RIVER BIRTHING AND SURGERY CENTER, LLC | ID | General Acute Care Hospital (282N00000X) |
United | 309 | $19542.66 | 1437823986 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST TOWN CENTER | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 309 | $11485.75 | 1619165214 - SWEDISHAMERICAN HOSPITAL, SWEDISHAMERICAN MEDICAL CENTER BELVIDERE | 362222696 - SWEDISHAMERICAN HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 309 | $24257.44 | 1336139500 - YALE NEW HAVEN HOSPITAL | 60646652 - YALE NEW HAVEN HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 309 | $12976.19 | 1750484721 - LOYOLA UNIVERSITY MEDICAL CENTER, FOSTER G. MCGAW HOSPITAL | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 309 | $16640.90 | 1447406699 - FRANCISCAN HEALTH SYSTEM, ST ANTHONY HOSPITAL | 383769889 | WA | General Acute Care Hospital (282N00000X) |
United | 309 | $7275.00 | 1265546048 - FREEMAN-OAK HILL HEALTH SYSTEM, FREEMAN HEALTH SYSTEM | 431704371 - FREEMAN HEALTH SYSTEM | MO | 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 309 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 309 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 309 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 |
|---|---|---|
| 308-APR-DRG | High | HIP & FEMUR FRACTURE REPAIR |
| 308-MS-DRG | High | Cardiac Arrhythmia and Conduction Disorders with MCC |
| 309-MS-DRG | High | Cardiac Arrhythmia and Conduction Disorders with CC |
| 310-APR-DRG | High | INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 309. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 309 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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