MS-DRG 346 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 346 by major payers:
$14,999.20
$17,051.61
$19,921.08
$20,524.27
| 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 346 | ||||||
United | 346 | $30263.30 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 346 | $14633.19 | 1669538047 - UVA CULPEPER MEDICAL CENTER, UVA CULPEPER MEDICAL CENTER | 540622371 - (VA) UVA CULPEPER MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 346 | $29187.33 | 1366556227 - MULTICARE HEALTH SYSTEM, TACOMA GENERAL ALLENMORE | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 346 | $22033.08 | 1972523348 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK UNIVERSITY HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 346 | $7928.18 | 1104008168 - BLACKHAWK MANGUM LLC, QUARTZ MOUNTAIN MEDICAL CENTER | 822087512 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 346 | $27423.69 | 1588243117 - INTEGRIS HEALTH EDMOND, INC, INTEGRIS HEALTH JIM THORPE REHABILITATION HOSPITAL EDMOND | 451027361 - (OK) INTEGRIS HEALTH EDMOND INC | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 346 | $17219.64 | 1053375576 - BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC | 640772726 - BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | MS | General Acute Care Hospital (282N00000X) |
United | 346 | $22857.16 | 1114928926 - DECATUR HEALTH RESOURCES, INC., DEKALB MEDICAL AT DECATUR/DECATUR HOSPITAL | 582081599 - (GA) EMORY UNIVERSITY | GA | Long Term Care Hospital (282E00000X) |
United | 346 | $13698.29 | 1063990901 - FARMERS UNION HOSPITAL ASSOCIATION, GREAT PLAINS REGIONAL MEDICAL CENTER INPATIENT REHAB | 730579295 - (OK) FARMERS UNION HOSPITAL ASSOCIATION | OK | Rehabilitation Hospital Unit (273Y00000X) |
United | 346 | $39243.14 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 346 | $22558.39 | 1982023131 - GREENVILLE HEALTH SYSTEM, GHS CANCER INST-EASTSIDE | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 346 | $9401.00 | 1770520462 - THE MIRIAM HOSPITAL | 50258905 - THE MIRIAM HOSPITAL | RI | General Acute Care Hospital (282N00000X) |
United | 346 | $23021.85 | 1255377149 - OHIOHEALTH CORPORATION, GRANT MEDICAL CENTER | 314394942 - OHIOHEALTH CORPORATION GRANT RIVERSIDE DOCTORS DUBLIN MET | OH | General Acute Care Hospital (282N00000X) |
United | 346 | $15444.58 | 1750486007 - WEBSTER HEALTH SERVICES, INC., WEBSTER GENERAL HOSPITAL SWING BED | 640819193 - (MS) WEBSTER HEALTH SERVICES INC | MS | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 346 | $28333.35 | 1376564302 - INOVA HEALTH CARE SERVICES, INOVA LOUDOUN HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | 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 346 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 346 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 346 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 |
|---|---|---|
| 345-MS-DRG | High | Minor Small and Large Bowel Procedures with CC |
| 346-MS-DRG | High | Minor Small and Large Bowel Procedures without CC/MCC |
| 347-APR-DRG | High | OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
| 347-MS-DRG | High | Anal and Stomal Procedures 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 346. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 346 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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