MS-DRG 371 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 371 by major payers:
$20,142.46
$22,729.18
$27,545.21
$27,929.57
| 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 371 | ||||||
United | 371 | $47267.67 | 1265481550 - CLARENDON MEMORIAL HOSPITAL | 812772554 - MCLEOD HEALTH CLARENDON | SC | Rural Acute Care Hospital (282NR1301X) |
United | 371 | $21500.40 | 1841233640 - UNIVERSITY OF KENTUCKY | 616001218 | KY | Critical Access Hospital (282NC0060X) |
United | 371 | $19049.92 | 1598756686 - INGALLS MEMORIAL HOSPITAL, THE INGALLS MEMORIAL HOSPITAL | 362170866 - (IL) INGALLS MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 371 | $6552.00 | 1114967114 - SADDLEBACK MEMORIAL MEDICAL CENTER | 952585792 - (CA) MEMORIAL HEALTH SERVICES | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 371 | $38978.64 | 1033770284 - ADVENTHEALTH POLK SOUTH INC, ADVENTHEALTH LAKE WALES | 834672945 | FL | Psychiatric Hospital Unit (273R00000X) |
United | 371 | $16339.25 | 1689011280 - SOUTHERN REGIONAL MEDICAL CORPORATION, LEONARD J. CHABERT MEDICAL CENTER PSYCH | 462743282 | LA | Psychiatric Hospital Unit (273R00000X) |
United | 371 | $13073.48 | 1417941295 - UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER | 756001354 | TX | General Acute Care Hospital (282N00000X) |
United | 371 | $13073.48 | 1417941295 - UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER | 756001354 | TX | General Acute Care Hospital (282N00000X) |
United | 371 | $24013.41 | 1245318609 - ST CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 371 | $33822.05 | 1073608139 - VANDERBILT UNIV. MEDICAL CENTER, TVHS | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 371 | $27569.46 | 1316001761 - CARITAS ST.ELIZABETH'S MEDICAL CENTER-PSYCHIATRY | 272473667 | MA | Psychiatric Hospital Unit (273R00000X) |
United | 371 | $13273.86 | 1922135367 - ADIRONDACK MEDICAL CENTER, ADIRONDACK MEDICAL CENTER - SL DIALYSIS | 141731786 - (NY) ADIRONDACK MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 371 | $35120.82 | 1659751360 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE MILWAUKIE HOSPITAL - GERIATRIC PSYCHIATRIC UNIT | 930924302 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | Psychiatric Hospital Unit (273R00000X) |
United | 371 | $12855.24 | 1871884031 - THC-SEATTLE LLC, KINDRED HOSPITAL SEATTLE - FIRST HILL | 911637321 | WA | Long Term Care Hospital (282E00000X) |
United | 371 | $3308.00 | 1790115426 - CREEK NATION HOSPITAL & CLINICS, MUSCOGEE (CREEK) NATION MEDICAL CENTER | 731357965 - MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH | OK | Psychiatric Hospital Unit (273R00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 371 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 371 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 371 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 |
|---|---|---|
| 370-MS-DRG | High | Major Esophageal Disorders without CC/MCC |
| 371-MS-DRG | High | Major Gastrointestinal Disorders and Peritoneal Infections with MCC |
| 372-MS-DRG | High | Major Gastrointestinal Disorders and Peritoneal Infections 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 371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 371 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 371) and we'll show you how you compare in 15 minutes or less.