MS-DRG 373 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 373 by major payers:
$9,552.19
$10,558.49
$11,855.50
$12,086.44
| 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 373 | ||||||
United | 373 | $12599.00 | 1467537886 - MERCY HEALTH SERVICES-IOWA CORP, MERCY MEDICAL CENTER-NORTH IOWA | 311373080 - MERCY HEALTH SERVICES IOWA CORP | IA | Rural Acute Care Hospital (282NR1301X) |
United | 373 | $7979.39 | 1568848059 - CUMBERLAND SURGICAL HOSPITAL OF SAN ANTONIO LLC, LEGENT ORTHOPEDIC & SPINE | 474612520 | TX | General Acute Care Hospital (282N00000X) |
United | 373 | $23875.96 | 1336139500 - YALE NEW HAVEN HOSPITAL | 60646652 - YALE NEW HAVEN HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 373 | $7889.45 | 1609603877 - LIFESPAN OF MASSACHUSETTS | 994836263 | MA | General Acute Care Hospital (282N00000X) |
United | 373 | $19535.01 | 1598755324 - ST. ANTHONY COMMUNITY HOSPITAL | 141340100 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | General Acute Care Hospital (282N00000X) |
United | 373 | $7763.22 | 1427132604 - GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER - SILVIS | 363616314 - GENESIS HEALTH SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 373 | $15301.90 | 1285601237 - HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $10155.66 | 1730494816 - VIERA HOSPITAL INC, VIERA HOSPITAL INC | 264019868 - (FL) VIERA HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 373 | $2602.00 | 1023061496 - CRESTWOOD HEALTHCARE LP, CRESTWOOD MEDICAL CENTER | 621647983 | AL | General Acute Care Hospital (282N00000X) |
United | 373 | $7167.68 | 1295785285 - OAKWOOD HEALTHCARE, INC., COREWELL HEALTH WAYNE HOSPITAL | 381405141 - (MI) OAKWOOD HEALTHCARE INC | MI | General Acute Care Hospital (282N00000X) |
United | 373 | $26538.19 | 1437575040 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $15550.91 | 1407801640 - WEST ALLIS MEMORIAL HOSPITAL, INC., AURORA WEST ALLIS MEDICAL CENTER | 391022464 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 373 | $24596.85 | 1184687790 - BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC, BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND PSYCHIATRIC UNIT | 540793767 - BON SECOURS ST MARYS HOSPITAL OF RICHMOND LLC | VA | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $5591.99 | 1497792568 - MERCY HEALTH-ST CHARLES HOSPITAL LLC, ST CHARLES HOSPITAL OF OREGON, OHIO | 344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | OH | General Acute Care Hospital (282N00000X) |
United | 373 | $13107.25 | 1013994359 - FAIRVIEW HEALTH SERVICES, UNIVERSITY OF MN MEDICAL CENTER, FAIRVIEW | 411592761 - (MN) HEALTHEAST WOODWINDS HOSPITAL | MN | 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 373 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 373 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 373 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 |
|---|---|---|
| 372-MS-DRG | High | Major Gastrointestinal Disorders and Peritoneal Infections with CC |
| 373-MS-DRG | High | Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC |
| 374-MS-DRG | High | Digestive Malignancy 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 373. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 373 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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