MS-DRG 324 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 Digestive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 324 by major payers:
$33,842.71
$47,118.46
$47,225.16
$51,867.38
| 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 324 | ||||||
United | 324 | $86858.78 | 1427041581 - NORWALK HOSPITAL ASSOCIATION | 66068853 - (CT) NORWALK HOSPITAL ASSOCIATION | CT | General Acute Care Hospital (282N00000X) |
United | 324 | $32235.35 | 1922495522 - TEAMHEALTH | 611334601 - (KY) SAINT JOSEPH HEALTH SYSTEM INC | KY | General Acute Care Hospital (282N00000X) |
United | 324 | $37638.28 | 1538812946 - ST. JOSEPH HEALTH SYSTEM, LLC | 510382045 | IN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 324 | $27730.26 | 1679880041 - SALINE COUNTY MEDICAL CENTER, SALINE MEMORIAL HOSPITAL | 812816675 | AR | General Acute Care Hospital (282N00000X) |
United | 324 | $29417.28 | 1275217606 - NORTHWEST MISS REGIONAL MEDICAL CENTER, NORTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER | 646001574 | MS | General Acute Care Hospital (282N00000X) |
United | 324 | $37974.32 | 1730710898 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 324 | $57262.57 | 1902844988 - PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE | 421672810 - (CA) UNITED STATES CATHLOC CONFERENCE | CA | General Acute Care Hospital (282N00000X) |
United | 324 | $42890.32 | 1053361642 - DEACONESS HOSPITAL, INC. | 350593390 - DEACONESS HOSPITAL INC | IN | General Acute Care Hospital (282N00000X) |
United | 324 | $73375.46 | 1548291883 - TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | 752890358 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN | TX | General Acute Care Hospital (282N00000X) |
United | 324 | $44220.17 | 1326075193 - MADISON HMA LLC, MERIT HEALTH MADISON | 646008520 | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 324 | $106658.82 | 1912220153 - NYU HOSPITAL FOR JOINT DISEASES | 133971298 - NYU LANGONE HOSPITALS | NY | Special Hospital (284300000X) |
United | 324 | $52689.67 | 1437136918 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Psychiatric Hospital (283Q00000X) |
United | 324 | $57486.94 | 1295106870 - ST. ANTHONYS HOSPITAL, INC., ST ANTHONYS HOSPITAL | 592043026 - (FL) ST ANTHONYS HOSPITAL INC | FL | Psychiatric Hospital Unit (273R00000X) |
United | 324 | $16560.00 | 1477065126 - HMH HOSPITALS CORPORATION, OCEAN MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 324 | $48127.78 | 1578381307 - OHSRH, LLC | 994762475 | FL | 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 324 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 324 code is part of the Diseases & Disorders of the Digestive 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 324 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 |
|---|---|---|
| 323-APR-DRG | High | Non-Elective Or Complex Hip Joint Replacement |
| 323-MS-DRG | High | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC |
| 324-MS-DRG | High | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC |
| 325-APR-DRG | High | Non-Elective Or Complex Knee 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 324. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 324 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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