MS-DRG 357 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 357 by major payers:
$26,685.64
$29,470.31
$35,348.74
$36,483.59
| 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 357 | ||||||
United | 357 | $31417.59 | 1417005760 - UVA PRINCE WILLIAM MEDICAL CENTER, UVA HEALTH PRINCE WILLIAM MEDICAL CENTER | 540696355 - (VA) UVA PRINCE WILLIAM MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 357 | $1500.00 | 1912121120 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER, S M R M C INPATIENT REHAB | 640468873 | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 357 | $37749.64 | 1295159028 - CATHOLIC HEALTH INITIATIVES COLORADO, ST. ANTHONY SUMMIT HOSPITAL SWING BED UNIT | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 357 | $8459.00 | 1588659528 - RHODE ISLAND HOSPITAL | 50258954 - RHODE ISLAND HOSPITAL | RI | General Acute Care Hospital (282N00000X) |
United | 357 | $4089.00 | 1285607416 - ASHTABULA COUNTY MEDICAL CENTER | 340726081 - (OH) ASHTABULA COUNTY MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 357 | $17541.50 | 1497750244 - WEST TENNESSEE HEALTHCARE HENRY COUNTY | 626007078 | TN | General Acute Care Hospital (282N00000X) |
United | 357 | $4708.00 | 1871599308 - RUSSELL COUNTY MEDICAL CENTER, INC, RUSSELL COUNTY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | Psychiatric Hospital Unit (273R00000X) |
United | 357 | $35331.62 | 1720003312 - NASSAU HEALTHCARE CORPORATION, NUMC DEPARTMENT OF PATHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 357 | $10584.40 | 1285701623 - PHC-LOS ALAMOS INC, LOS ALAMOS MEDICAL CENTER | 30390794 | NM | Rural Acute Care Hospital (282NR1301X) |
United | 357 | $19732.86 | 1508859661 - MERCY HOSPITAL JEFFERSON, JEFFERSON MEMORIAL HOSPITAL ASSOCIATION | 430687077 - (MO) MERCY HOSPITAL JEFFERSON | MO | General Acute Care Hospital (282N00000X) |
United | 357 | $25831.30 | 1578078036 - WINONA HEALTH SERVICES, WINONA HEALTH SERVICES- SWING BED | 410713914 - (MN) WINONA HEALTH SERVICES | MN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 357 | $25373.08 | 1558531293 - HEALTH & HOSPITAL CORPORATION OF MARION COUNTY, WISHARD HEALTH SERVICES | 356005697 | IN | General Acute Care Hospital (282N00000X) |
United | 357 | $3783.00 | 1265561450 - TAKOMA REGIONAL HOSPITAL, INC, GREENEVILLE COMMUNITY HOSPITAL PSYCHIATRIC | 510603966 - TAKOMA REGIONAL HOSPITAL INC | TN | Psychiatric Hospital Unit (273R00000X) |
United | 357 | $28742.27 | 1265577191 - ALEXIAN BROTHERS MEDICAL CENTER | 362596381 - (IL) ALEXIAN BROTHERS MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 357 | $9736.00 | 1902901333 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | 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 357 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 357 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 357 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 |
|---|---|---|
| 356-MS-DRG | High | Other Digestive System O.R. Procedures with MCC |
| 357-MS-DRG | High | Other Digestive System O.R. Procedures with CC |
| 358-MS-DRG | High | Other Digestive System O.R. Procedures 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 357. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 357 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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