MS-DRG 328 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 328 by major payers:
$19,370.53
$20,775.90
$25,111.04
$26,045.98
| 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 328 | ||||||
United | 328 | $16785.86 | 1043659816 - ORO VALLEY HOSPITAL LLC, ORO VALLEY HOSPITAL | 522379881 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 328 | $22654.13 | 1851369243 - PARKWEST MEDICAL CENTER | 581897274 - (TN) PARKWEST MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 328 | $15929.87 | 1255346961 - ST. JOSEPH MERCY PORT HURTON | 472361878 | MI | General Acute Care Hospital (282N00000X) |
United | 328 | $19961.46 | 1538623640 - CLHG-LEESVILLE, BYRD REGIONAL HOSPITAL REFERENCE LABORATORY | 824337635 | LA | General Acute Care Hospital (282N00000X) |
United | 328 | $28204.94 | 1962401497 - CANONSBURG GENERAL HOSPITAL | 251737079 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 328 | $14360.08 | 1962455816 - CHCA CONROE LP, CONROE REGIONAL MEDICAL CENTER | 621801361 - (TX) CHCA CONROE LP | TX | General Acute Care Hospital (282N00000X) |
United | 328 | $3593.00 | 1558391045 - WELLMONT HEALTH SYSTEM, BRISTOL REGIONAL MEDICAL CENTER PSYCHIATRIC UNIT | 621636465 - WELLMONT HEALTH SYSTEM | TN | Psychiatric Hospital Unit (273R00000X) |
United | 328 | $15130.28 | 1770531600 - NORTHWEST COMMUNITY HOSPITAL | 362340313 - NORTHWEST COMMUNITY HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 328 | $24581.33 | 1619504016 - BATON ROUGE GENERAL MEDICAL CENTER, THE GENERAL | 721025017 - (LA) BATON ROUGE GENERAL MEDICAL CENTER | LA | General Acute Care Hospital (282N00000X) |
United | 328 | $6010.00 | 1841274057 - SAINT LUKE'S HOSPITAL OF TRENTON, WRIGHT MEMORIAL HOSPITAL | 431707306 - SAINT LUKES HOSPITAL OF TRENTON | MO | Critical Access Hospital (282NC0060X) |
United | 328 | $15360.25 | 1467556761 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST BEAUMONT | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 328 | $30727.13 | 1134223878 - PROVIDENCE EVERETT MEDICAL CENTER, INPATIENT REHABILITATION FACILITY | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 328 | $38381.03 | 1265484489 - HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS, THE KINGSTON HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | General Acute Care Hospital (282N00000X) |
United | 328 | $21472.18 | 1831798719 - VANDERBILT COFFEE HOSPITAL, LLC, VANDERBILT TULLAHOMA-HARTON HOSPITAL | 853420386 | TN | General Acute Care Hospital (282N00000X) |
United | 328 | $16919.77 | 1306825997 - WILLIAM BEAUMONT HOSPITAL, BEAUMONT HOSPITAL, TROY | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | 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 328 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 328 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 328 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 |
|---|---|---|
| 327-MS-DRG | High | Stomach, Esophageal and Duodenal Procedures with CC |
| 328-MS-DRG | High | Stomach, Esophageal and Duodenal Procedures without CC/MCC |
| 329-MS-DRG | High | Major Small and Large Bowel Procedures 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 328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 328 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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