MS-DRG 348 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 348 by major payers:
$15,454.80
$17,303.33
$19,989.47
$20,650.24
| 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 348 | ||||||
United | 348 | $22623.68 | 1285663856 - ROCKDALE MEDICAL CENTER INC., ROCKDALE HOSPITAL | 300999841 - (GA) PIEDMONT ROCKDALE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 348 | $11330.09 | 1457393571 - ANSON HOSPITAL DISTRICT | 811008596 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 348 | $28885.86 | 1407866064 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 348 | $12714.87 | 1740876382 - DELTA HEALTH SYSTEM, DELTA HEALTH-NORTHWEST REGIONAL | 853959101 | MS | General Acute Care Hospital (282N00000X) |
United | 348 | $17990.93 | 1952900920 - VANDERBILT BEDFORD HOSPITAL, LLC, VANDERBILT BEDFORD HOSPITAL | 853419620 | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 348 | $11100.48 | 1043505225 - PECOS COUNTY MEMORIAL HOSPITAL | 746002963 | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 348 | $23005.14 | 1558408633 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT PSYCHIATRIC HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 348 | $44907.35 | 1184654923 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS MEDICAL CENTER OF MODESTO | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 348 | $9925.91 | 1023062098 - HCA HEALTHONE LLC, ROSE MEDICAL CENTER | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 348 | $28910.64 | 1902047376 - FLOWER MOUND HOSPITAL PARTNERS, LLC, TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND | 260684968 - (TX) FLOWER MOUND HOSPITAL PARTNERS, LLC DBA TEXAS HEALTH PRESBYTERIAN HOSP | TX | General Acute Care Hospital (282N00000X) |
United | 348 | $29000.01 | 1528133147 - LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH, BROOKHAVEN MEMORIAL HOSPITAL PSYCHIATRIC UNIT | 133971298 - NYU LANGONE HOSPITALS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 348 | $10729.12 | 1699884858 - BANNER GATEWAY MEDICAL CENTER | 900220728 | AZ | General Acute Care Hospital (282N00000X) |
United | 348 | $23249.36 | 1275578064 - AURORA MEDICAL CENTER OF OSHKOSH, INC | 391027676 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 348 | $10339.53 | 1689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS | 621682198 | TX | General Acute Care Hospital (282N00000X) |
United | 348 | $5355.45 | 1346456597 - HIGHLANDS-CASHIERS HOSPITAL | 832048950 | NC | Critical Access Hospital (282NC0060X) |
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 348 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 348 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 348 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 |
|---|---|---|
| 347-APR-DRG | High | OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
| 347-MS-DRG | High | Anal and Stomal Procedures with MCC |
| 348-MS-DRG | High | Anal and Stomal Procedures with CC |
| 349-APR-DRG | High | MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 348. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 348 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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