MS-DRG 325 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 325 by major payers:
$30,326.86
$42,311.29
$43,018.83
$46,506.78
| 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 325 | ||||||
United | 325 | $57711.85 | 1578648614 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 325 | $22999.83 | 1780677039 - CIBOLA GENERAL HOSPITAL CORPORATION, CIBOLA GENERAL HOSPITAL | 850141285 - (NM) CIBOLA GENERAL HOSPITAL CORPORATION | NM | Critical Access Hospital (282NC0060X) |
United | 325 | $75656.75 | 1174297626 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST CLAY | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 325 | $43103.23 | 1801823349 - DLP FRYE REGIONAL MEDICAL CENTER LLC, FRYE REGIONAL MEDICAL CENTER | 352547114 | NC | General Acute Care Hospital (282N00000X) |
United | 325 | $92302.72 | 1457382798 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 325 | $66291.96 | 1134252133 - VIRGINIA MASON MEDICAL CENTER | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 325 | $42173.94 | 1144742537 - COMMUNITY MERCY HEALTH PARTNERS, MERCY HEALTH-URBANA HOSPITAL | 310785684 - COMMUNITY MERCY HEALTH PARTNERS | OH | Psychiatric Hospital Unit (273R00000X) |
United | 325 | $45719.19 | 1518346469 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | General Acute Care Hospital (282N00000X) |
United | 325 | $46933.67 | 1871771923 - EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 325 | $50186.17 | 1427017854 - MERCY MEDICAL CENTER | 111635088 - (NY) MERCY MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 325 | $62485.37 | 1144266024 - INDIANA UNIVERSITY HEALTH INC, INDIANA UNIVERSITY HEALTH | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 325 | $3036.00 | 1073517058 - ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT, ROOSEVELT GENERAL HOSPITAL | 850458844 - (NM) ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT | NM | General Acute Care Hospital (282N00000X) |
United | 325 | $41331.58 | 1023003720 - KATHERINE SHAW BETHEA HOSPITAL | 361000540 - (IL) KATHERINE SHAW BETHEA HOSPITAL | IL | Psychiatric Hospital Unit (273R00000X) |
United | 325 | $74730.56 | 1013080084 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | General Acute Care Hospital (282N00000X) |
United | 325 | $71065.93 | 1457382798 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | 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 325 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 325 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 325 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 |
|---|---|---|
| 324-APR-DRG | High | Elective Hip Joint Replacement |
| 324-MS-DRG | High | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC |
| 325-MS-DRG | High | Coronary Intravascular Lithotripsy without Intraluminal Device |
| 326-APR-DRG | High | Elective 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 325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 325 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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