MS-DRG 352 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 352 by major payers:
$12,650.86
$14,372.94
$17,489.66
$18,126.60
| 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 352 | ||||||
United | 352 | $8118.99 | 1932396017 - WILLIAM BEAUMONT HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 352 | $19285.58 | 1104887199 - UNIVERSITY PHYSICIANS HEALTHCARE, UNIVERSITY PHYSICIANS HOSPITAL @ KINO | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 352 | $19497.25 | 1891098786 - MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS, MOUNT ST. MARY'S HOSPITAL CLINICS | 161523353 - (NY) MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS | NY | General Acute Care Hospital (282N00000X) |
United | 352 | $32416.43 | 1205960903 - HARRIS METHODIST FORT WORTH | 756001743 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 352 | $15436.40 | 1730186206 - BUTLER MEMORIAL HOSPITAL | 250965274 - (PA) BUTLER HEALTHCARE PROVIDERS | PA | General Acute Care Hospital (282N00000X) |
United | 352 | $14221.33 | 1871329110 - BMC COMMUNITY HOSPITAL CORPORATION | 994491180 | MA | General Acute Care Hospital (282N00000X) |
United | 352 | $25620.00 | 1336125640 - TRUSTEES OF MEASE HOSPITAL INC, MEASE DUNEDIN HOSPITAL | 590855412 - (FL) TRUSTEES OF MEASE HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 352 | $17132.93 | 1548624851 - PROSPECT DCMH, LLC, ACUTE | 811520273 | PA | General Acute Care Hospital (282N00000X) |
United | 352 | $24626.44 | 1487875498 - NEW ENGLAND MEDICAL CENTER | 43400617 - TUFTS MEDICAL CENTER PARENT INC | MA | Critical Access Hospital (282NC0060X) |
United | 352 | $19681.41 | 1619034659 - THE CARLE FOUNDATION HOSPITAL, CARLE FOUNDATION REHAB UNIT | 371119538 - THE CARLE FOUNDATION HOSPITAL | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 352 | $16359.28 | 1982733655 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 352 | $17946.59 | 1154399749 - OHI WEST, INC, BAYFRONT HEALTH ST PETERSBURG | 845074208 - (FL) OHI WEST INC | FL | General Acute Care Hospital (282N00000X) |
United | 352 | $13970.38 | 1790777696 - JACK COUNTY HOSPITAL DISTRICT, FAITH COMMUNITY HOSPITAL | 756004585 - (TX) FAITH COMMUNITY HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 352 | $24875.98 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 352 | $30197.53 | 1912968348 - GARNET HEALTH MEDICAL CENTER, ORANGE REGIONAL MEDICAL CENTER | 141364536 - (NY) GARNET HEALTH MEDICAL CENTER | NY | Rehabilitation Hospital (283X00000X) |
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 352 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 352 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 352 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 |
|---|---|---|
| 351-APR-DRG | High | OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
| 351-MS-DRG | High | Inguinal and Femoral Hernia Procedures with CC |
| 352-MS-DRG | High | Inguinal and Femoral Hernia Procedures without CC/MCC |
| 353-MS-DRG | High | Hernia Procedures except Inguinal and Femoral 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 352. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 352 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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