MS-DRG 335 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 335 by major payers:
$43,719.14
$47,323.01
$58,215.62
$58,905.51
| 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 335 | ||||||
United | 335 | $40521.80 | 1194730382 - FARMERS UNION HOSPITAL ASSOCIATION, GREAT PLAINS REGIONAL MEDICAL CENTER - PSYCHIATRIC UNIT | 730579295 - (OK) FARMERS UNION HOSPITAL ASSOCIATION | OK | Psychiatric Hospital Unit (273R00000X) |
United | 335 | $57267.92 | 1205382413 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL ZARZAMORA | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 335 | $55988.78 | 1801823349 - DLP FRYE REGIONAL MEDICAL CENTER LLC, FRYE REGIONAL MEDICAL CENTER | 352547114 | NC | General Acute Care Hospital (282N00000X) |
United | 335 | $55988.78 | 1801823349 - DLP FRYE REGIONAL MEDICAL CENTER LLC, FRYE REGIONAL MEDICAL CENTER | 352547114 | NC | General Acute Care Hospital (282N00000X) |
United | 335 | $44941.03 | 1912978685 - MERCY HOSPITAL WALDRON | 710557895 - MERCY HOSPITAL WALDRON | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 335 | $45384.42 | 1134207392 - SINGING RIVER HEALTH SYSTEM, BEHAVORIAL HEALTH SERVICES | 646000515 - SINGING RIVER HEALTH SYSTEM | MS | Psychiatric Hospital Unit (273R00000X) |
United | 335 | $58901.69 | 1720185267 - PHELPS MEMORIAL HOSPITAL ASSOCIATION, PHELPS HOSPITAL | 131725076 - (NY) PHELPS MEMORIAL HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 335 | $91722.93 | 1518271782 - EMANUEL MEDICAL CENTER, INC., EMANUEL SPECIALTY CARE - SURGERY | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 335 | $79106.07 | 1114958584 - INDIANA UNIVERSITY HEALTH INC | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | Children's Hospital (282NC2000X) |
United | 335 | $46935.30 | 1033107214 - SWEDISH EDMONDS, PUBLIC HOSPITAL DISTRICT 2 OF SNOHOMISH COUNTY | 272305304 - (WA) SWEDISH EDMONDS | WA | General Acute Care Hospital (282N00000X) |
United | 335 | $63163.10 | 1538186143 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIV MED CENTER-PSYCH | 113465690 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 335 | $63163.10 | 1538186143 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIV MED CENTER-PSYCH | 113465690 | NY | Psychiatric Hospital Unit (273R00000X) |
United | 335 | $36639.07 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 208473972 | IN | General Acute Care Hospital (282N00000X) |
United | 335 | $21584.91 | 1982603874 - SELECT SPECIALTY HOSPITAL | 233052749 - (TX) SELECT SPECIALTY HOSPITAL | TX | Long Term Care Hospital (282E00000X) |
United | 335 | $38049.32 | 1912997024 - MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION, MORRISTOWN HAMBLEN HEALTHCARE SYSTEM | 620545814 - (TN) MORRISTOWN HAMBLEN HOSP | TN | 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 335 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 335 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 335 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 |
|---|---|---|
| 334-MS-DRG | High | Rectal Resection without CC/MCC |
| 335-MS-DRG | High | Peritoneal Adhesiolysis with MCC |
| 336-MS-DRG | High | Peritoneal Adhesiolysis with CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 335 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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