MS-DRG 327 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 327 by major payers:
$30,054.22
$31,651.70
$38,220.03
$39,409.02
| 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 327 | ||||||
United | 327 | $36984.82 | 1023308608 - ADVOCATE LUTHERAN GENERAL HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Children's Hospital (282NC2000X) |
United | 327 | $22930.98 | 1497708473 - NASON MEDICAL CENTER LLC, NASON HOSPITAL | 472546387 | PA | General Acute Care Hospital (282N00000X) |
United | 327 | $16372.20 | 1184197683 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 327 | $8251.16 | 1720163025 - MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME, MADISON MEMORIAL HOSPITAL | 431445493 | MO | Critical Access Hospital (282NC0060X) |
United | 327 | $48755.00 | 1346603107 - LONG ISLAND JEWISH MEDICAL CENTER, LONG ISLAND JEWISH VALLEY STREAM | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 327 | $28250.93 | 1720001019 - AFFINITY HOSPITAL LLC, GRANDVIEW MEDICAL CENTER | 203391873 | AL | Rehabilitation Hospital Unit (273Y00000X) |
United | 327 | $28932.43 | 1104027879 - THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, ESKENAZI HEALTH | 356005697 | IN | General Acute Care Hospital (282N00000X) |
United | 327 | $5264.00 | 1174521991 - PAWHUSKA HOSPITAL, INC. | 237169376 - (OK) PAWHUSKA HOSPITAL INC | OK | Critical Access Hospital (282NC0060X) |
United | 327 | $35143.98 | 1023224169 - INTEGRIS BAPTIST REGIONAL HEALTH CENTER | 730584411 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 327 | $44555.64 | 1659359446 - SCRIPPS HEALTH, SCRIPPS MERCY HOSPITAL | 951684089 - SCRIPPS HEALTH | CA | General Acute Care Hospital (282N00000X) |
United | 327 | $22758.58 | 1326255563 - TULSA SPINE & SPECIALTY HOSPITAL PHARMACY | 731600601 - (OK) TULSA SPINE AND SPECIALTY HOSPITAL | OK | Special Hospital (284300000X) |
United | 327 | $25985.52 | 1427132604 - GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER - SILVIS | 363616314 - GENESIS HEALTH SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 327 | $40309.73 | 1821250762 - TARZANA MEDICAL CENTER LLC, PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER | 833972614 - (CA) TARZANA MEDICAL CENTER LLC | CA | General Acute Care Hospital (282N00000X) |
United | 327 | $51717.76 | 1033153895 - SMDC MEDICAL CENTER, ESSENTIA HEALTH DULUTH | 411878730 - (MN) SMDC MEDICAL CENTER | MN | General Acute Care Hospital (282N00000X) |
United | 327 | $19827.16 | 1477516466 - SCOTT & WHITE MEMORIAL HOSPITAL, BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 741166904 - SCOTT & WHITE MEMORIAL HOSPITAL | TX | 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 327 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 327 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 327 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 |
|---|---|---|
| 326-APR-DRG | High | Elective Knee Joint Replacement |
| 326-MS-DRG | High | Stomach, Esophageal and Duodenal Procedures with MCC |
| 327-MS-DRG | High | Stomach, Esophageal and Duodenal Procedures with CC |
| 328-MS-DRG | High | Stomach, Esophageal and Duodenal 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 327. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 327 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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