MS-DRG 314 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 314 by major payers:
$23,698.01
$27,265.14
$33,911.20
$34,088.80
| 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 314 | ||||||
United | 314 | $500.00 | 1811566540 - SHAMROCK COMMUNITY HOSPITAL INC, HOUSTON COUNTY COMMUNITY HOSPITAL | 862345211 | TN | Critical Access Hospital (282NC0060X) |
United | 314 | $22492.15 | 1811929060 - BOX BUTTE GENERAL HOSPITAL | 470557565 - (NE) BOX BUTTE GENERAL HOSPITAL | NE | Critical Access Hospital (282NC0060X) |
United | 314 | $17232.55 | 1841258589 - CRIPPLED CHILDREN'S HOSPITAL, CHILDREN'S HOSPITAL | 540506309 - (VA) VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD | VA | Children's Hospital (282NC2000X) |
United | 314 | $32016.08 | 1679508022 - MARIAN HEALTH CENTER -SMHC, MERCYONE SIOUXLAND MEDICAL CENTER | 311407377 | IA | Psychiatric Hospital Unit (273R00000X) |
United | 314 | $34505.53 | 1073500419 - SOUTHWESTERN REGIONAL MEDICAL CENTER, LLC | 362510771 - MIDWESTERN REGIONAL MEDICAL CENTER INC | OK | Special Hospital (284300000X) |
United | 314 | $29876.33 | 1598829442 - METHODIST HEALTHCARE, METHODIST BEHAVIORAL HEALTH | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | Psychiatric Hospital Unit (273R00000X) |
United | 314 | $23613.13 | 1447898622 - VHS OF ARROWHEAD, INC., ABRAZO SURPRISE HOSPITAL | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 314 | $33605.37 | 1568493922 - UNIVERSITY OF CALIFORNIA IRVINE, UCI HEALTH - LOS ALAMITOS | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | General Acute Care Hospital (282N00000X) |
United | 314 | $34835.01 | 1831298926 - NORTHWESTERN MEMORIAL HOSPITAL | 370960170 - (IL) NORTHWESTERN MEMORIAL HOSPITAL | IL | Psychiatric Hospital Unit (273R00000X) |
United | 314 | $29526.64 | 1669475950 - HENDRICKS COUNTY HOSPITAL | 351361243 - HENDRICKS COUNTY HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 314 | $8241.00 | 1083621130 - PLAINVIEW HOSPITAL | 113241243 - (NY) PLAINVIEW HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 314 | $14412.00 | 1245262757 - ATLANTICARE REGIONAL MEDICAL CENTER | 210634549 - (NJ) ATLANTICARE HEALTH SYSTEM INC | NJ | Special Hospital (284300000X) |
United | 314 | $30914.10 | 1821187758 - EAST BATON ROUGE MEDICAL CENTER REHAB, OCHSNER MEDICAL CENTER BATON ROUGE REHAB | 201729674 | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 314 | $72895.97 | 1568759991 - VHS HARLINGEN HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - REHAB UNIT | 452662980 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 314 | $13848.50 | 1932286077 - COLUMBIA COUNTY HOSPITAL DISTRICT, MEDICARE DEFINED SWING BED | 910741968 | WA | 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 314 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 314 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 314 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 |
|---|---|---|
| 313-APR-DRG | High | KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
| 313-MS-DRG | High | Chest Pain |
| 314-MS-DRG | High | Other Circulatory System Diagnoses with MCC |
| 315-APR-DRG | High | SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 314 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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