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See a sample rate comparisonMS-DRG 328 Fee Schedule
Last Verified: October 2026
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.
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
| 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
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MS-DRG 328
5 of 25 sample ratesHigher to lower in this preview
University Of Texas Southwestern Medical Center At Dallas, Ut Southwestern Psychiatric Care Unit
$43,212.92Published rateMercy Health
$28,778.60Published rateWestern Reserve Hospital, LLC, Summa Western Reserve Hospital, LLC
Western Reserve Hospital, LLC
$21,521.81Published rateEast Carolina Health, Ecu Health Edgecombe Hospital
East Carolina Health
$14,463.57Published rateSaint Luke'S Hospital Of Trenton, Wright Memorial Hospital
Saint Lukes Hospital Of Trenton
$6,010.00Published rate
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See a sample payer proposalMS-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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