MS-DRG 345 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 345 by major payers:
$18,867.10
$20,009.34
$23,595.66
$24,341.46
| 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 345 | ||||||
United | 345 | $45633.12 | 1124274436 - ST. MARYS HOSPITAL AND MEDICAL CENTER INC, ST. MARY'S MEDICAL CENTER | 840425720 - (CO) ST MARYS HOSPITAL AND MEDICAL CENTER INC | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 345 | $10339.53 | 1033112230 - ST JUDE CHILDRENS RESEARCH HOSPITAL INC | 620646012 - ST JUDE CHILDRENS RESEARCH HOSPITAL INC | TN | Children's Hospital (282NC2000X) |
United | 345 | $58126.94 | 1104856095 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | General Acute Care Hospital (282N00000X) |
United | 345 | $35713.91 | 1275682932 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 345 | $17532.41 | 1619066594 - HENRY FORD MACOMB HOSPITAL CORPORATION, HENRY FORD MACOMB HOSPITAL | 382947657 - (MI) HENRY FORD MACOMB HOSPITAL CORPORATION | MI | Psychiatric Hospital Unit (273R00000X) |
United | 345 | $12624.17 | 1700828712 - AKRON GENERAL MEDICAL CENTER | 340714478 - (OH) AKRON GENERAL MEDICAL CENTER | OH | Psychiatric Hospital Unit (273R00000X) |
United | 345 | $29496.33 | 1780927277 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS | 954537720 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 345 | $12674.79 | 1881691061 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 345 | $17954.15 | 1003933797 - SILVER CROSS HOSPITAL & MEDICAL CENTERS | 362174832 - (IL) SILVER CROSS HOSPITAL & MEDICAL CENTERS | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 345 | $23196.81 | 1932208576 - UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL, UNC HOSPITALS | 561118388 | NC | General Acute Care Hospital (282N00000X) |
United | 345 | $22253.08 | 1285678458 - CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER, BAYLOR ST. LUKE'S MEDICAL CENTER - REHABILITATION | 741161938 - CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 345 | $11211.13 | 1376546440 - ROME MEMORIAL HOSPITAL, INC. | 161471634 - (NY) ROME MEMORIAL HOSPITAL INC | NY | General Acute Care Hospital (282N00000X) |
United | 345 | $15227.96 | 1023251923 - CLAIBORNE COUNTY HOSPITAL CLAIBORNE COUNTY AMBULANCE, CLAIBORNE COUNTY HOSPITAL | 464420358 - (TN) CLAIBORNE MEDICAL CENTER | TN | Rural Acute Care Hospital (282NR1301X) |
United | 345 | $25951.01 | 1902822992 - NASSAU HEALTHCARE CORPORATION, NASSAU DEPARTMENT OF PSYCHIATRY AND PSYCHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 345 | $30842.26 | 1053475004 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL PSYCHIATRIC UNIT | 541547408 - SENTARA HOSPITALS | VA | Psychiatric Hospital Unit (273R00000X) |
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 345 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 345 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 345 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 |
|---|---|---|
| 344-APR-DRG | High | OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
| 344-MS-DRG | High | Minor Small and Large Bowel Procedures with MCC |
| 345-MS-DRG | High | Minor Small and Large Bowel Procedures with CC |
| 346-APR-DRG | High | CONNECTIVE TISSUE DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 345 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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