MS-DRG 311 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 311 by major payers:
$8,256.23
$9,820.29
$11,266.85
$11,542.19
| 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 311 | ||||||
United | 311 | $12382.30 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | General Acute Care Hospital (282N00000X) |
United | 311 | $5559.14 | 1417432840 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 311 | $10090.98 | 1871713495 - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | 60646813 - (CT) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | CT | General Acute Care Hospital (282N00000X) |
United | 311 | $16251.07 | 1114974813 - ST ELIZABETH MEDICAL CENTER, INC, ST ELIZABETH GRANT | 610445850 - ST ELIZABETH MEDICAL CENTER INC | KY | Critical Access Hospital (282NC0060X) |
United | 311 | $34045.62 | 1609970011 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK - PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Psychiatric Hospital (283Q00000X) |
United | 311 | $13598.69 | 1336173269 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE SAINT JOSEPH MEDICAL CENTER | 951675600 - (CA) PROVIDENCE HEALTH SYSTEMS SO. CA SAN FERNANDO VALLEY SERVICE AREA | CA | General Acute Care Hospital (282N00000X) |
United | 311 | $6282.16 | 1437100765 - UPMC ALTOONA, WILLIAMSBURG FAMILY PRACTICE | 231352155 - UPMC | PA | General Acute Care Hospital (282N00000X) |
United | 311 | $9877.29 | 1164497533 - THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA | 720683078 | LA | Critical Access Hospital (282NC0060X) |
United | 311 | $7419.00 | 1114924834 - SAINT PETER'S UNIVERSITY HOSPITAL | 221487330 - (NJ) SAINT PETERS UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 311 | $14170.40 | 1598755324 - ST. ANTHONY COMMUNITY HOSPITAL | 141340100 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | General Acute Care Hospital (282N00000X) |
United | 311 | $2926.58 | 1265449870 - PUNXSUTAWNEY AREA HOSPITAL INC | 250965210 - (PA) PUNXSUTAWNEY AREA HOSPITAL INC | PA | General Acute Care Hospital (282N00000X) |
United | 311 | $20376.14 | 1851787295 - HDMC HOLDINGS, LLC, HI-DESERT MEDICAL CENTER | 473550779 | CA | General Acute Care Hospital (282N00000X) |
United | 311 | $28583.50 | 1235663402 - HARBORVIEW MEDICAL CENTER | 911631806 | WA | General Acute Care Hospital (282N00000X) |
United | 311 | $17591.57 | 1881913200 - BANNER GOOD SAMARITAN MEDICAL CENTER | 270036499 | AZ | General Acute Care Hospital (282N00000X) |
United | 311 | $16247.34 | 1356586093 - ABBOTT NORTHWESTERN 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 311 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 311 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 311 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 |
|---|---|---|
| 310-APR-DRG | High | INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
| 310-MS-DRG | High | Cardiac Arrhythmia and Conduction Disorders without CC/MCC |
| 311-MS-DRG | High | Angina Pectoris |
| 312-APR-DRG | High | SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 311. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 311 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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