Medicare inpatient bundled payment
MS-DRG 286: $15,158
Circulatory Disorders Except Ami, With Cardiac Catheterization with MCC. The federally-set bundled payment under the Inpatient Prospective Payment System — covers the entire inpatient hospital stay (pre-op, OR time, recovery, in-stay drugs and supplies).
Medicare national-average estimate
$15,158
CMS MS-DRG 286 bundled-payment estimate. Relative weight 2.2128 × FY2026 operating base rate ($6,850 national average).
Mean length of stay
7.2 days
Geometric mean LOS
5.4 days
What MS-DRG 286 actually covers
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
Under the Inpatient Prospective Payment System (42 CFR Part 412), CMS pays hospitals a single bundled rate for each inpatient stay based on the DRG assigned. The bundle includes:
- Pre-operative work after admission
- Operating-room time and surgical procedure
- Drugs, supplies, and devices used during the stay
- Routine post-operative recovery
- Discharge planning
Separate professional fees from non-employed physicians (e.g. a surgeon billing through their private practice rather than as a hospital employee) may still be billed under CPT codes alongside the DRG bundled charge.
Hospital published prices
Aggregated across 22 hospitals that publish MS-DRG 286 in their federally-required HPT files.
Gross charge distribution
Min
$30,206
25th percentile
$63,094
Median
$82,681
75th percentile
$115,205
Max
$176,782
Median cash / self-pay
$37,702
Median commercial negotiated
$21,223
Source: each hospital’s own Hospital Price Transparency file, published under 45 CFR §180.50. Aggregated via the DoltHub HPT v3 community dataset.
Highest published gross
- MAT-SU REGIONAL MEDICAL CENTERAK$176,782
- MAT-SU REGIONAL MEDICAL CENTERAK$176,782
- ADVENTHEALTH AVISTACO$152,848
- NORTHEAST REGIONAL MEDICAL CENTERMO$140,192
- LITTLETON REGIONAL HEALTHCARENH$117,070
- MOBERLY REGIONAL MEDICAL CENTERMO$109,609
- UNIVERSITY OF COLORADO HOSPITAL AUTHORITYCO$109,059
- CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUSCO$97,717
Lowest published gross
- TAYLOR REGIONAL HOSPITALKY$30,206
- BINGHAM MEMORIAL HOSPITALID$44,126
- CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEMLA$51,849
- ST CLAIRE REGIONAL MEDICAL CENTERKY$54,156
- CHRISTUS COUSHATTA HEALTH CARE CENTERLA$54,387
- CHRISTUS ST FRANCES CABRINI HOSPITALLA$61,700
- CHRISTUS ST VINCENT REGIONAL MEDICAL CENTERNM$67,278
- UCHEALTH GREELEY HOSPITALCO$71,552
Related DRGs
- DRG 209COMPLEX AORTIC ARCH PROCEDURES
- DRG 212CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
- DRG 213ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
- DRG 215OTHER HEART ASSIST SYSTEM IMPLANT
- DRG 216CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA…
- DRG 217CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA…
If you have a bill from an inpatient stay
Audit every charge in the bundle — and every separately-billed item — quickly.
Upload your bill. Our system reads every line, identifies the hospital, matches the MS-DRG to its CMS bundled-payment estimate, and benchmarks the separately-billed CPTs, drugs, and supplies against six federal data sources: CMS PFS, NADAC, federally-required HPT files, the National Correct Coding Initiative, CMS Hospital Compare, and IRS Publication 78.
- ✓Line-by-line audit, every charge benchmarked.
- ✓Up to 5 dispute letters drafted — sign and mail.
- ✓MS-DRG bundling-rule check (NCCI edits applied).
- ✓30-day money-back guarantee on single audits.
Frequently asked
What does MS-DRG 286 cover?+
MS-DRG 286 is the Medicare inpatient bundled-payment classification for circulatory disorders except ami, with cardiac catheterization with mcc. Under the CMS Inpatient Prospective Payment System, a single payment covers the entire inpatient hospital stay including pre-op, OR time, drugs and supplies during the admission, and routine post-op recovery. Separate professional fees from non-employed physicians (e.g. surgeons billing through their private practice) may still be billed under CPT codes.
How much does Medicare pay for MS-DRG 286?+
Medicare's national-average payment estimate is $15,158 (DRG weight × FY2026 operating base rate ~$6,850). Hospital-specific payments vary by wage index, indirect medical education adjustments, disproportionate share hospital adjustments, and other factors. The hospital's published HPT rates for this DRG are typically higher than the Medicare benchmark.
Why is my inpatient bill for circulatory disorders except ami, with cardiac catheterization with mcc so much higher than $15,158?+
Commercial insurance and uninsured / self-pay rates routinely run multiples of the Medicare-allowed payment. Each hospital publishes its own gross / cash / commercial-negotiated rates for every DRG in its federally-required Hospital Price Transparency file (45 CFR §180.50). The bigger the gap between what you were billed and the hospital's own published cash-pay rate, the stronger the basis for your dispute.
Can I dispute an MS-DRG charge?+
Yes. Federal and state law gives every patient the right to (1) request an itemized bill (HIPAA §164.524), (2) receive a Good Faith Estimate before scheduled care (No Surprises Act, 2022), (3) dispute charges that materially exceed the GFE by more than $400, and (4) apply for charity care if the facility is a 501(c)(3) nonprofit (ACA §501(r)). DRG bills are bundled — separately-itemized charges for drugs, supplies, or services already covered by the DRG bundle are also disputable.
What's the source of this number?+
MS-DRG codes, descriptions, and relative weights are published annually by the Centers for Medicare & Medicaid Services in the IPPS Final Rule. The hospital pricing distribution is aggregated from individual hospital Hospital Price Transparency files via the DoltHub community dataset. Source freshness: 2025-10-01.