MS-DRG 350 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 350 by major payers:
$27,330.85
$30,928.50
$37,927.50
$39,116.87
| 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 350 | ||||||
United | 350 | $75869.46 | 1073576740 - MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, VALLEYWISE HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 350 | $34471.12 | 1831798719 - VANDERBILT COFFEE HOSPITAL, LLC, VANDERBILT TULLAHOMA-HARTON HOSPITAL | 853420386 | TN | General Acute Care Hospital (282N00000X) |
United | 350 | $37915.53 | 1619289998 - VHS DETROIT RECEIVING HOSPITAL INC, DETROIT RECEIVING HOSPITAL | 272844942 | MI | General Acute Care Hospital (282N00000X) |
United | 350 | $2884.00 | 1104893320 - ST JAMES MERCY HOSPITAL | 160743310 - ST JAMES HOSPITAL | NY | Chronic Disease Hospital (281P00000X) |
United | 350 | $10403.00 | 1477166064 - THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO, GOOD SAMARITAN ENDOSCOPY CENTER NORTH | 310537486 - (OH) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO DTD 01251995 | OH | General Acute Care Hospital (282N00000X) |
United | 350 | $34471.12 | 1831798719 - VANDERBILT COFFEE HOSPITAL, LLC, VANDERBILT TULLAHOMA-HARTON HOSPITAL | 853420386 | TN | General Acute Care Hospital (282N00000X) |
United | 350 | $25681.13 | 1942283866 - NEVADA CITY HOSPITAL, NEVADA REGIONAL MEDICAL CENTER | 446000696 - (MO) NEVADA CITY HOSPITAL | MO | Rural Acute Care Hospital (282NR1301X) |
United | 350 | $43668.14 | 1760427157 - VENICE HMA LLC, SHOREPOINT HEALTH VENICE | 201852812 - (FL) VENICE HMA LLC | FL | General Acute Care Hospital (282N00000X) |
United | 350 | $6706.00 | 1144402819 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 350 | $3300.00 | 1427057363 - PROFESSIONAL RESOURCE MGMT OF RABUN, LLC, MOUNTAIN LAKES MEDICAL CENTER | 202012765 | GA | General Acute Care Hospital (282N00000X) |
United | 350 | $6706.00 | 1144402819 - PRIME HEALTHCARE PARADISE VALLEY LLC, PARADISE VALLEY HOSPITAL | 205837239 | CA | Psychiatric Hospital Unit (273R00000X) |
United | 350 | $34437.44 | 1801849104 - WOMEN & CHILDRENS HOSPITAL LLC, LAKE AREA MEDICAL CENTER | 720411322 - (LA) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA | LA | General Acute Care Hospital (282N00000X) |
United | 350 | $32347.19 | 1568407310 - THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, ESKENAZI HEALTH | 356005697 | IN | General Acute Care Hospital (282N00000X) |
United | 350 | $23984.83 | 1932154705 - ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD., ST LUKES MAGIC VALLEY MEDICAL CENTER | 421009175 - TRINITY REGIONAL MEDICAL CENTER | ID | General Acute Care Hospital (282N00000X) |
United | 350 | $15213.59 | 1104008168 - BLACKHAWK MANGUM LLC, QUARTZ MOUNTAIN MEDICAL CENTER | 822087512 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 350 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 350 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 350 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 |
|---|---|---|
| 349-APR-DRG | High | MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
| 349-MS-DRG | High | Anal and Stomal Procedures without CC/MCC |
| 350-MS-DRG | High | Inguinal and Femoral Hernia Procedures with MCC |
| 351-APR-DRG | High | OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 350 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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