MS-DRG 331 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 331 by major payers:
$20,245.08
$21,998.06
$26,959.62
$27,096.82
| 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 331 | ||||||
United | 331 | $29425.76 | 1942252705 - NORTHWEST ARKANSAS HOSPITALS, LLC, NORTHWEST MEDICAL CENTER | 205896848 | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 331 | $42034.46 | 1740609908 - GREENVILLE HEALTH SYSTEM, GHS CANCER INST-FARIS | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 331 | $26782.51 | 1659492106 - ST. CHARLES HOSPITAL AND REHABILITATION CENTER | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | Rehabilitation Hospital (283X00000X) |
United | 331 | $55886.35 | 1154618742 - VHS HARLINGEN HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 331 | $33796.14 | 1700978558 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION, ADVENTHEALTH FISH MEMORIAL | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 331 | $48539.39 | 1104845015 - TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | 751438726 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL HURST-EULESS-BEDFORD | TX | General Acute Care Hospital (282N00000X) |
United | 331 | $15849.59 | 1467687699 - MADELIA HEALTH, MADELIA COMMUNITY HOSPITAL | 410758512 - (MN) MADELIA HEALTH | MN | Critical Access Hospital (282NC0060X) |
United | 331 | $2000.00 | 1255431987 - MERIDIAN HOSPITALS CORPORATION, JERSEY SHORE UNIVERSITY MEDICAL CENTER- AUDIOLOGY | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 331 | $26373.07 | 1114972007 - CANNON COUNTY HOSPITAL LLC, STONES RIVER HOSPITAL | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 331 | $6143.00 | 1992069967 - BROOKLYN HOSPITAL CENTER, NO | 111630755 - (NY) THE BROOKLYN HOSPITAL CENTER | NY | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 331 | $23477.22 | 1750953592 - STEWARD HH, INC. | 995053647 | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 331 | $21071.71 | 1669597415 - GERMBUSTERS | 364251846 - ST ALEXIUS MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 331 | $68202.81 | 1205605409 - SOUTH CAROLINA COASTAL MEDICAL CENTER LLC | 934580630 | SC | General Acute Care Hospital (282N00000X) |
United | 331 | $35342.96 | 1003991845 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | General Acute Care Hospital (282N00000X) |
United | 331 | $3526.00 | 1891808499 - HOUSTON HOSPITALS INC, PERRY HOSPITAL | 711045290 - (GA) HOUSTON HOSPITALS INC | GA | 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 331 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 331 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 331 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 |
|---|---|---|
| 330-MS-DRG | High | Major Small and Large Bowel Procedures with CC |
| 331-MS-DRG | High | Major Small and Large Bowel Procedures without CC/MCC |
| 332-MS-DRG | High | Rectal Resection 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 331. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 331 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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