MS-DRG 333 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 333 by major payers:
$26,497.61
$28,030.79
$33,457.90
$34,556.07
| 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 333 | ||||||
United | 333 | $26141.18 | 1609258656 - UNIVERSITY OF NEW MEXICO | 616001218 | NM | Special Hospital (284300000X) |
United | 333 | $27010.43 | 1891059127 - CHHP HOLDINGS II, LLC, COMMUNITY HOSPITAL OF HUNTINGTON PARK | 272133159 - (CA) CHHP HOLDINGS II LLC | CA | General Acute Care Hospital (282N00000X) |
United | 333 | $42263.71 | 1437622933 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH CHESTER MEDICAL CENTER | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 333 | $57563.75 | 1538111653 - NYU LUTHERAN MEDICAL CENTER | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 333 | $17889.93 | 1952419681 - VALLEY MEDICAL FACILITIES, INC., VALLEY MEDICAL FACILITIES D/B/A SEWICKLEY VALLEY HOSPITAL INPT REHAB U | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 333 | $22031.75 | 1336119627 - BAPTIST WOMEN'S HEALTH CENTER LLC, SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 621772195 - (TN) BAPTIST WOMENS HEALTH CENTER LLC | TN | Special Hospital (284300000X) |
United | 333 | $26141.18 | 1609258656 - UNIVERSITY OF NEW MEXICO | 616001218 | NM | Special Hospital (284300000X) |
United | 333 | $17315.99 | 1629089966 - METROPLEX ADVENTIST HOSPITAL INC, ADVENTHEALTH CENTRAL TEXAS | 742225672 - (TX) METROPLEX ADVENTIST HOSPITAL INC | TX | General Acute Care Hospital (282N00000X) |
United | 333 | $13564.58 | 1093744187 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST BEAUMONT HOSPITAL | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 333 | $3658.00 | 1679816201 - TEMECULA VALLEY HOSPITAL INC, TEMECULA VALLEY HOSPITAL | 461246570 - (CA) TEMECULA VALLEY HOSPITAL INC | CA | General Acute Care Hospital (282N00000X) |
United | 333 | $31940.02 | 1043915523 - CATHOLIC HEALTH INITIATIVES COLORADO, HOLY CROSS HOSPITAL - SALT LAKE | 621795214 | UT | General Acute Care Hospital (282N00000X) |
United | 333 | $31940.02 | 1043915523 - CATHOLIC HEALTH INITIATIVES COLORADO, HOLY CROSS HOSPITAL - SALT LAKE | 621795214 | UT | General Acute Care Hospital (282N00000X) |
United | 333 | $40463.76 | 1891895835 - UNIVERSITY OF WASHINGTON, UNIVERSITY OF WASHINGTON MEDICAL CENTER | 916001537 | WA | Psychiatric Hospital Unit (273R00000X) |
United | 333 | $62483.82 | 1215296884 - TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | 451502252 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | TX | General Acute Care Hospital (282N00000X) |
United | 333 | $28763.81 | 1902840424 - NORTH KANSAS CITY HOSPITAL | 446005747 - (MO) NORTH KANSAS CITY HOSPITAL | MO | 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 333 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 333 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 333 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 |
|---|---|---|
| 332-MS-DRG | High | Rectal Resection with MCC |
| 333-MS-DRG | High | Rectal Resection with CC |
| 334-MS-DRG | High | Rectal Resection 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 333. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 333 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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