MS-DRG 334 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 334 by major payers:
$19,780.08
$21,907.00
$26,268.44
$27,070.92
| 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 334 | ||||||
United | 334 | $29297.50 | 1225113376 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 334 | $22510.51 | 1871977751 - GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION, MACNEAL HOSPITAL | 363332852 - (IL) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 334 | $17050.98 | 1891338554 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 334 | $24188.85 | 1508247016 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 334 | $24188.85 | 1508247016 - SAINT THOMAS RIVER PARK HOSPITAL, LLC, ASCENSION SAINT THOMAS RIVER PARK | 474063149 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 334 | $15513.29 | 1821087164 - LUBBOCK COUNTY HOSPITAL DISTRICT, UNIVERSITY MEDICAL CENTER | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 334 | $21354.48 | 1417005372 - THE UNITY HOSPITAL OF ROCHESTER, PSYCHIATRIC INPATIENT UNIT | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 334 | $55765.44 | 1750542940 - LONG ISLAND JEWISH MEDICAL CENTER, COHENS CHILDRENS HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | Children's Hospital (282NC2000X) |
United | 334 | $28730.26 | 1770673535 - PRINCETON BAPTIST MEDICAL CENTER, PRINCETON BAPTIST MEDICAL CENTER | 474775351 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 334 | $5328.00 | 1386647717 - MSH PARTNERS, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER - UPTOWN | 752829613 | TX | General Acute Care Hospital (282N00000X) |
United | 334 | $5328.00 | 1386647717 - MSH PARTNERS, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER - UPTOWN | 752829613 | TX | General Acute Care Hospital (282N00000X) |
United | 334 | $14665.33 | 1043505225 - PECOS COUNTY MEMORIAL HOSPITAL | 921628671 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 334 | $30171.58 | 1053360651 - EAST BATON ROUGE MEDICAL CENTER LLC, OCHSNER MEDICAL CENTER BATON ROUGE | 201729674 | LA | General Acute Care Hospital (282N00000X) |
United | 334 | $29710.50 | 1083614382 - ROBERT PACKER HOSPITAL | 240795463 - (PA) ROBERT PACKER HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 334 | $29297.50 | 1225113376 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | 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 334 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 334 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 334 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 |
|---|---|---|
| 333-MS-DRG | High | Rectal Resection with CC |
| 334-MS-DRG | High | Rectal Resection without CC/MCC |
| 335-MS-DRG | High | Peritoneal Adhesiolysis 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 334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 334 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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