MS-DRG 351 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 351 by major payers:
$17,400.15
$20,090.24
$23,627.45
$24,474.74
| 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 351 | ||||||
United | 351 | $38275.98 | 1922139807 - INOVA HEALTH CARE SERVICES, INOVA FAIR OAKS HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | Psychiatric Hospital Unit (273R00000X) |
United | 351 | $11723.30 | 1194758284 - BANNER BAYWOOD MEDICAL CENTER | 363386394 - (AZ) BANNER BAYWOOD MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 351 | $17203.74 | 1972664530 - BAPTIST HEALTH CARE, INC., GULF BREEZE HOSPITAL | 590657322 - BAPTIST HEALTH CARE INC | FL | General Acute Care Hospital (282N00000X) |
United | 351 | $17375.50 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | General Acute Care Hospital (282N00000X) |
United | 351 | $33094.48 | 1962723684 - PROVIDENCE SACRED HEART MEDICAL CENTER | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 351 | $16907.30 | 1528311636 - | 311667875 - RIDGEVIEW MEDICAL CENTER | MN | Psychiatric Hospital Unit (273R00000X) |
United | 351 | $13574.36 | 1306849005 - LINCOLN SURGERY CENTER LLC | 470807324 - (NE) LINCOLN SURGERY CENTER, LLC | NE | Special Hospital (284300000X) |
United | 351 | $9952.26 | 1861691917 - COLUMBIA COUNTY HOSPITAL DISTRICT | 910741968 | WA | Critical Access Hospital (282NC0060X) |
United | 351 | $1660.00 | 1407067960 - CARTHAGE AREA HOSPITAL INC | 150622079 - CARTHAGE AREA HOSPITAL INC | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 351 | $25612.60 | 1699065136 - DUKE UNIVERSITY HOSPITAL | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | General Acute Care Hospital (282N00000X) |
United | 351 | $13841.92 | 1629024930 - MERCY MEDICAL CENTER, MERCY MEDICAL PSYCH UNIT | 420698295 - (IA) MERCY MEDICAL CENTER | IA | Psychiatric Hospital Unit (273R00000X) |
United | 351 | $3722.00 | 1437211893 - SLIDELL MEMORIAL HOSPITAL, SLIDELL MEMORIAL HOSPITAL | 726014895 - (LA) SLIDELL MEMORIAL HOSPITAL | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 351 | $9310.01 | 1518411677 - CORRY MEMORIAL HOSPITAL ASSOCIATION, MULTI SPECIALTY GROUP | 250987222 - CORRY MEMORIAL HOSPITAL ASSOCIATION | PA | Critical Access Hospital (282NC0060X) |
United | 351 | $21889.38 | 1306842604 - BRODSTONE MEMORIAL HOSPITAL, BRODSTONE HEALTHCARE | 470388012 - (NE) BRODSTONE MEMORIAL HOSPITAL | NE | Critical Access Hospital (282NC0060X) |
United | 351 | $20650.50 | 1164876546 - BBH PBMC, LLC, PRINCETON BAPTIST MEDICAL CENTER | 474775351 | AL | 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 351 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 351 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 351 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 |
|---|---|---|
| 350-MS-DRG | High | Inguinal and Femoral Hernia Procedures with MCC |
| 351-MS-DRG | High | Inguinal and Femoral Hernia Procedures with CC |
| 352-MS-DRG | High | Inguinal and Femoral Hernia Procedures without CC/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 351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 351 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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