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See a sample rate comparisonMS-DRG 336 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.
PERITONEAL ADHESIOLYSIS WITH CC
| 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 336 by major payers:
$26,427.85
$28,383.99
$33,930.34
$34,529.26
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MS-DRG 336
5 of 25 sample ratesHigher to lower in this preview
Pih Health Good Samaritan Hospital, Good Samaritan Hospital
Pih Health Good Samaritan Hospital
$50,838.83Published rateUniversity Of Kansas Hospital Authority, University Of Kansas Hospital At Indian Creek Campus
University Of Kansas Hospital Authority
$37,928.46Published rateBaptist Memorial Hospital
Baptist Memorial Hospital-Golden Triangle Inc
$25,303.24Published rateRiverview Healthcare Association
$15,739.79Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$2,500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 336 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 336 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 336 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 |
|---|---|---|
| 335-MS-DRG | High | PERITONEAL ADHESIOLYSIS WITH MCC |
| 336-MS-DRG | High | PERITONEAL ADHESIOLYSIS WITH CC |
| 337-MS-DRG | High | PERITONEAL ADHESIOLYSIS 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 336. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 336 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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