MS-DRG 370 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 370 by major payers:
$9,392.50
$9,841.63
$11,189.69
$11,528.43
| 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 370 | ||||||
United | 370 | $18509.56 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 370 | $18509.56 | 1467506857 - BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX | 270036499 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 370 | $7542.58 | 1437439502 - ST. JOHN HOSPITAL AND MEDICAL CENTER | 381359063 - ASCENSION ST JOHN HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 370 | $7381.35 | 1265498299 - LEHIGH VALLEY HOSPITAL, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET | 231352202 - (PA) LEHIGH VALLEY HOSPITAL - SCHUYKILL | PA | Substance Use Disorder Rehabilitation Hospital Unit (276400000X) |
United | 370 | $7329.70 | 1518957174 - ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 370 | $8084.02 | 1407076631 - ST. MARY'S HEALTH CENTER | 431343281 - SSM HEALTH CARE ST LOUIS | MO | Critical Access Hospital (282NC0060X) |
United | 370 | $7871.83 | 1982629630 - MERCY HOSPITAL SOUTH, MERCY HOSPITAL SOUTH | 430980256 - (MO) MERCY HOSPITAL SOUTH | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 370 | $9964.83 | 1073576740 - MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, VALLEYWISE HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 370 | $9964.83 | 1073576740 - MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, VALLEYWISE HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 370 | $15538.87 | 1669558771 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 370 | $15538.87 | 1669558771 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 370 | $7129.85 | 1700509577 - PRIME HEALTHCARE SERVICES PAMPA LLC | 455125687 - (TX) PRIME HEALTHCARE SERVICES PAMPA, LLC | TX | Critical Access Hospital (282NC0060X) |
United | 370 | $18340.16 | 1740772268 - FLORIDA HOSPITAL OCALA INC, ADVENT HEALTH OCALA | 824372339 - (FL) FLORIDA HOSPITAL OCALA INC | FL | General Acute Care Hospital (282N00000X) |
United | 370 | $5307.89 | 1902881295 - SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, THE CORE INSTITUTE SPECIALTY HOSPITAL | 202615543 - (AZ) SURGICAL SPECIALTY HOSPITAL OF ARIZONA | AZ | Special Hospital (284300000X) |
United | 370 | $24797.68 | 1205935996 - VALLEY BAPTIST MEDICAL CENTER | 452662980 | TX | 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 370 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 370 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 370 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 |
|---|---|---|
| 369-MS-DRG | High | Major Esophageal Disorders with CC |
| 370-MS-DRG | High | Major Esophageal Disorders without CC/MCC |
| 371-MS-DRG | High | Major Gastrointestinal Disorders and Peritoneal Infections 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 370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 370 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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