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 | $33888.98 | 1740686443 - PRIME HEALTHCARE SERVICES, MONROE HOSPITAL | 472105584 | IN | General Acute Care Hospital (282N00000X) |
United | 327 | $43844.19 | 1073781225 - ADVOCATE HOPE CHILDREN'S HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Children's Hospital (282NC2000X) |
United | 327 | $42977.37 | 1326406489 - ALLE-KISKI MEDICAL CENTER, ALLEGHENY VALLEY HOSPITAL - REHAB UNIT | 251875178 - (PA) HIGHMARK HEALTH | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 327 | $35143.98 | 1023224169 - INTEGRIS BAPTIST REGIONAL HEALTH CENTER | 730584411 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 327 | $27665.76 | 1124661897 - UOFL HEALTH-LOUISVILLE INC | 843178470 - UOFL HEALTH-LOUISVILLE INC | KY | Rehabilitation Hospital Unit (273Y00000X) |
United | 327 | $25905.52 | 1285689133 - EAST TEXAS MEDICAL CENTER JACKSONVILLE | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 327 | $36447.30 | 1801857172 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITY MEDICAL CENTER | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 327 | $33580.62 | 1295370039 - OSF HEALTHCARE SYSTEM, OSF LITTLE COMPANY OF MARY MEDICAL CENTER | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Psychiatric Hospital Unit (273R00000X) |
United | 327 | $22930.98 | 1497708473 - NASON MEDICAL CENTER LLC, NASON HOSPITAL | 472546387 | PA | General Acute Care Hospital (282N00000X) |
United | 327 | $25905.52 | 1285689133 - EAST TEXAS MEDICAL CENTER JACKSONVILLE | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 327 | $36447.30 | 1801857172 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITY MEDICAL CENTER | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 327 | $57910.19 | 1063968196 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 327 | $5328.00 | 1598196206 - EBD BEMC BURLESON, LLC, BAYLOR EMERGENCY MEDICAL CENTER AT MANSFIELD | 364755936 | TX | General Acute Care Hospital (282N00000X) |
United | 327 | $49921.73 | 1427283795 - ALEGENT HEALTH IMMANUEL MEDICAL CENTER, ALEGENT HEALTH IMMANUEL MEDICAL CENTER - PSYCHIATRIC UNIT | 470376615 - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER | NE | Psychiatric Hospital Unit (273R00000X) |
United | 327 | $37678.26 | 1871771923 - EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | 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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