MS-DRG 320 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 320 by major payers:
$29,308.03
$30,285.08
$42,212.06
$37,983.42
| 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 320 | ||||||
United | 320 | $26627.41 | 1386796670 - ST. ANTHONY'S HOSPITAL ASSOCIATION, ST. VINCENT MORRILTON | 710245507 - (AR) ST ANTHONYS HOSPITAL ASSOCIATION | AR | Critical Access Hospital (282NC0060X) |
United | 320 | $31890.94 | 1831123942 - MONROE HOSPITAL, LLC | 472105584 | IN | General Acute Care Hospital (282N00000X) |
United | 320 | $17465.19 | 1730217613 - ADIRONDACK MEDICAL CENTER | 141731786 - (NY) ADIRONDACK MEDICAL CENTER | NY | Rural Acute Care Hospital (282NR1301X) |
United | 320 | $16449.64 | 1942260609 - ARKANSAS SURGICAL HOSPITAL, LLC | 710858717 - (AR) ARKANSAS SURGICAL HOSPITAL, LLC | AR | General Acute Care Hospital (282N00000X) |
United | 320 | $41899.00 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 320 | $72131.47 | 1104847888 - SOUND SHORE MEDICAL CENTER OF WESTCHESTER | 462931956 - (NY) MONTEFIORE NEW ROCHELLE HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 320 | $109532.45 | 1568676880 - NEW YORK PRESBYTERIAN HOSPITAL, HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 320 | $12136.00 | 1063406551 - COUNTY OF SANTA CLARA, INPATIENT ACUTE/OUTPATIENT FACILITY SERVICES | 946000533 | CA | General Acute Care Hospital (282N00000X) |
United | 320 | $61881.55 | 1902836943 - DLP CENTRAL CAROLINA MEDICAL CENTER LLC, CENTRAL CAROLINA HOSPITAL | 810691912 | NC | General Acute Care Hospital (282N00000X) |
United | 320 | $23465.93 | 1972795730 - DALLAS MEDICAL CENTER LLC, DALLAS MEDICAL CENTER | 271459658 - (TX) DALLAS MEDICAL CENTER, LLC | TX | Psychiatric Hospital Unit (273R00000X) |
United | 320 | $40888.62 | 1649355702 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 320 | $42583.05 | 1427142355 - UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL, UNC HOSPITALS PSYCH UNIT | 561118388 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 320 | $28296.11 | 1194757500 - COX-MONETT HOSPITAL, INC. | 431656689 - (MO) COX-MONETT HOSPITAL INC | MO | Critical Access Hospital (282NC0060X) |
United | 320 | $47781.08 | 1558734095 - BARTOW REGIONAL MEDICAL CENTER, INC. | 475387418 - (FL) BARTOW REGIONAL MEDICAL CENTER INC | FL | General Acute Care Hospital (282N00000X) |
United | 320 | $16105.78 | 1912423260 - TOPEKA HOSPITAL, LLC, THE UNIVERSITY OF KANSAS HEALTH SYSTEM, ST. FRANCIS CAMPUS | 822034009 | KS | 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 320 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 320 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 320 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 |
|---|---|---|
| 319-MS-DRG | High | Other Endovascular Cardiac Valve Procedures with MCC |
| 320-MS-DRG | High | Other Endovascular Cardiac Valve Procedures without 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 320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 320 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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