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See a sample rate comparisonMS-DRG 337 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 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 337 by major payers:
$18,908.00
$20,530.99
$24,334.79
$25,070.59
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MS-DRG 337
5 of 25 sample ratesHigher to lower in this preview
Swedish Health Services, Swedish Medical Center-Ballard Psych
Swedish Health Services
$43,143.98Published rateNew York City Health And Hospitals Corporation, Elmhurst Hospital Center
New York City Health And Hospitals Corporation
$26,879.60Published rateFranciscan Health Dyer & Hammond, Franciscan Health Hammond
$19,954.75Published rateEphrata Community Hospital, Wellspan Ephrata Community Hospital
$15,857.58Published ratePrime Healthcare Services-Suburban Hospital LLC
$2,536.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 337 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 337 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 337 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 |
|---|---|---|
| 336-MS-DRG | High | PERITONEAL ADHESIOLYSIS WITH CC |
| 337-MS-DRG | High | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC |
| 344-APR-DRG | High | OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
| 344-MS-DRG | High | MINOR 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 337. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 337 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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