MS-DRG 317 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 317 by major payers:
$67,624.43
$85,413.67
$90,237.60
$100,682.89
| 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 317 | ||||||
United | 317 | $149123.17 | 1013130145 - BANNER HEALTH | 900412842 | AZ | General Acute Care Hospital (282N00000X) |
United | 317 | $163240.54 | 1477584993 - JFK MEMORIAL HOSPITAL, INC., JOHN F. KENNEDY MEMORIAL HOSPITAL | 752919774 | CA | General Acute Care Hospital (282N00000X) |
United | 317 | $89084.15 | 1952326977 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | General Acute Care Hospital (282N00000X) |
United | 317 | $89084.15 | 1760408801 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | Rehabilitation Hospital Unit (273Y00000X) |
United | 317 | $97714.18 | 1285798918 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN UNIVERSITY HOSPITAL | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 317 | $60713.32 | 1366532228 - MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD L L C, MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD | 208385914 - (TX) MEMORIAL HERMANN SPECIALTY HOSPITAL KINGWOOD L L C | TX | General Acute Care Hospital (282N00000X) |
United | 317 | $5761.00 | 1669569984 - IRVING-COPPELL SURGICAL HOSPITAL LLP, BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS | 542086863 | TX | General Acute Care Hospital (282N00000X) |
United | 317 | $29330.00 | 1447724646 - COUNTY OF SANTA CLARA, O'CONNOR HOSPITAL | 946000533 | CA | General Acute Care Hospital (282N00000X) |
United | 317 | $76395.85 | 1942294814 - FORT SANDERS REGIONAL MEDICAL CENTER | 620528340 - (TN) FORT SANDERS REGIONAL MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 317 | $149123.17 | 1013130145 - BANNER HEALTH | 900412842 | AZ | General Acute Care Hospital (282N00000X) |
United | 317 | $55844.62 | 1467635375 - UPMC KANE, UPMC KANE SNF | 250998168 - (PA) UPMC | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 317 | $60076.12 | 1124080114 - CHARLES COLE MEMORIAL HOSPITAL | 240802108 - UPMC | PA | Psychiatric Hospital Unit (273R00000X) |
United | 317 | $49695.35 | 1548364961 - HOMER MEMORIAL HOSPITAL, CLAIBORNE MEMORIAL MEDICAL CENTER | 720396868 - (LA) HOMER MEMORIAL HOSPITAL | LA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 317 | $81190.31 | 1780763284 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Psychiatric Hospital Unit (273R00000X) |
United | 317 | $181880.15 | 1538177589 - TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | 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 317 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 317 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 317 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 |
|---|---|---|
| 316-APR-DRG | High | HAND & WRIST PROCEDURES |
| 316-MS-DRG | High | Other Circulatory System Diagnoses without CC/MCC |
| 317-MS-DRG | High | Concomitant Left Atrial Appendage Closure and Cardiac Ablation |
| 319-MS-DRG | High | Other Endovascular Cardiac Valve Procedures with MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 317. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 317 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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