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 | $16155.04 | 1568481984 - MERCY HOSPITAL SOUTH | 430980256 - (MO) MERCY HOSPITAL SOUTH | MO | General Acute Care Hospital (282N00000X) |
United | 331 | $39021.39 | 1235162645 - NORCAL HEALTHCONNECT LLC, PETALUMA VALLEY HOSPITAL | 852390012 | CA | General Acute Care Hospital (282N00000X) |
United | 331 | $33176.85 | 1356496582 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER, CHERRY HILL | 910373400 - (WA) SWEDISH HEALTH SERVICES | WA | General Acute Care Hospital (282N00000X) |
United | 331 | $5761.00 | 1619308319 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL MURPHY | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 331 | $23477.22 | 1750953592 - STEWARD HH, INC. | 995053647 | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 331 | $7071.81 | 1649221557 - LOVE COUNTY HEALTH CENTER, MERCY HEALTH LOVE COUNTY | 730929722 | OK | Critical Access Hospital (282NC0060X) |
United | 331 | $7071.81 | 1649221557 - LOVE COUNTY HEALTH CENTER, MERCY HEALTH LOVE COUNTY | 730929722 | OK | Critical Access Hospital (282NC0060X) |
United | 331 | $8067.18 | 1780786699 - PALACIOS COMMUNITY MEDICAL CENTER | 760698013 - (TX) PALACIOS COMMUNITY MEDICAL CENTER | TX | Critical Access Hospital (282NC0060X) |
United | 331 | $21403.56 | 1184468696 - NORTHWEST SAHUARITA HOSPITAL LLC | 384088744 - (AZ) NORTHWEST SAHUARITA HOSPITAL LLC | AZ | General Acute Care Hospital (282N00000X) |
United | 331 | $12999.96 | 1295833713 - HOMER MEMORIAL HOSPITAL, CLAIBORNE MEMORIAL MEDICAL CENTER | 720396868 - (LA) HOMER MEMORIAL HOSPITAL | LA | Psychiatric Hospital Unit (273R00000X) |
United | 331 | $38258.32 | 1922139120 - INOVA HEALTH CARE SERVICES, INOVA MOUNT VERNON HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 331 | $12312.66 | 1568570745 - THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION, MARY LANNING HEALTHCARE | 470378779 - (NE) THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION | NE | Psychiatric Hospital Unit (273R00000X) |
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 | $26476.15 | 1861435042 - SAINT VINCENT HEALTH CENTER | 250965547 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 331 | $68202.81 | 1205605409 - SOUTH CAROLINA COASTAL MEDICAL CENTER LLC | 934580630 | SC | 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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