MS-DRG 353 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 353 by major payers:
$32,696.09
$37,987.93
$46,132.12
$47,398.09
| 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 353 | ||||||
United | 353 | $77109.40 | 1700801909 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 353 | $19228.75 | 1255788014 - CORRY MEMORIAL HOSPITAL ASSOCIATION, CORRY MEMORIAL HOSPITAL ER PHYSICIAN GROUP | 250987222 - CORRY MEMORIAL HOSPITAL ASSOCIATION | PA | Critical Access Hospital (282NC0060X) |
United | 353 | $17232.55 | 1265512917 - HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT, HARRISON COUNTY COMMUNITY HOSPITAL | 431530883 | MO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 353 | $78407.89 | 1902836943 - DLP CENTRAL CAROLINA MEDICAL CENTER LLC, CENTRAL CAROLINA HOSPITAL | 810691912 | NC | General Acute Care Hospital (282N00000X) |
United | 353 | $53662.17 | 1528386737 - SAINT FRANCIS HOSPITAL | 752522262 | TN | General Acute Care Hospital (282N00000X) |
United | 353 | $48521.00 | 1386649804 - CENTRAL SUFFOLK HOSPITAL, PECONIC BAY MEDICAL CENTER | 111661359 - (NY) CENTRAL SUFFOLK HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 353 | $64967.14 | 1013048990 - INOVA HEALTH CARE SERVICES, INOVA MOUNT VERNON HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 353 | $41650.80 | 1528133147 - LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH, BROOKHAVEN MEMORIAL HOSPITAL PSYCHIATRIC UNIT | 111704595 - (NY) LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH | NY | Psychiatric Hospital Unit (273R00000X) |
United | 353 | $84112.57 | 1457895336 - DE CRAIG RANCH, LLC, DIGNITY HEALTH-ST ROSE DOMINICAN SAHARA | 364827272 - (NV) DE CRAIG RANCH LLC | NV | General Acute Care Hospital (282N00000X) |
United | 353 | $50793.69 | 1982650206 - LAKEVIEW MEDICAL CENTER, LLC, LAKEVIEW REGIONAL MEDICAL CENTER | 621596506 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 353 | $47281.42 | 1770048217 - UCHEALTH BROOMFIELD HOSPITAL | 473393862 - (CO) UCHEALTH BROOMFIELD HOSPITAL | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 353 | $14372.29 | 1013068808 - ST HELENA PARISH HOSPITAL, ST HELENA PARISH HOSPITAL | 720627145 - (LA) ST HELENA PARISH HOSPITAL | LA | Critical Access Hospital (282NC0060X) |
United | 353 | $29834.48 | 1356723027 - PRIME HEALTHCARE SERVICES-PORT HURON LLC | 472361878 | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 353 | $30868.91 | 1023182177 - ADVOCATE CHRIST MEDICAL CENTER | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 353 | $67712.17 | 1487821237 - UNIVERSITY HOSPITAL @ SYRACUSE | 161469571 | NY | 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 353 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 353 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 353 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 |
|---|---|---|
| 352-MS-DRG | High | Inguinal and Femoral Hernia Procedures without CC/MCC |
| 353-MS-DRG | High | Hernia Procedures except Inguinal and Femoral with MCC |
| 354-MS-DRG | High | Hernia Procedures except Inguinal and Femoral with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 353. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 353 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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