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 | $16010.91 | 1558521070 - BANNER BOSWELL MEDICAL CENTER | 900389314 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 373 | $7426.25 | 1780125005 - AHS PRYOR HOSPITAL, LLC, HILLCREST HOSPITAL PRYOR | 820651263 | OK | General Acute Care Hospital (282N00000X) |
United | 373 | $6632.00 | 1033187182 - SHASTA REGIONAL MEDICAL CENTER, LLC | 263487583 | CA | General Acute Care Hospital (282N00000X) |
United | 373 | $8396.91 | 1801908728 - RUSH UNIVERSITY MEDICAL CENTER | 362174823 - (IL) RUSH UNIVERSITY MEDICAL CENTER | IL | Children's Hospital (282NC2000X) |
United | 373 | $15637.61 | 1518042605 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $9258.28 | 1386453165 - SAINT JOSEPH MEDICAL CENTER | 364195126 - (IL) PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 373 | $17488.33 | 1851950810 - | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 373 | $13775.34 | 1184786329 - COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC., ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE | 390806315 - COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC | WI | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $7889.45 | 1609603877 - LIFESPAN OF MASSACHUSETTS | 994836263 | MA | General Acute Care Hospital (282N00000X) |
United | 373 | $7341.04 | 1285227629 - SCRANTON HOSPITAL COMPANY LLC, REGIONAL HOSPITAL OF SCRANTON | 274564798 | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 373 | $13911.71 | 1972709970 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE EAST CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 373 | $19933.99 | 1891117966 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 373 | $6527.87 | 1356407373 - ENDLESS MOUNTAINS HEALTH SYSTEMS | 232720289 - (PA) ENDLESS MOUNTAINS HEALTH SYSTEMS INC | PA | Critical Access Hospital (282NC0060X) |
United | 373 | $8245.91 | 1255995361 - VHS OF PHOENIX INC, ABRAZO MESA HOSPITAL | 621809851 | AZ | General Acute Care Hospital (282N00000X) |
United | 373 | $17076.97 | 1215961248 - BANNER HEART HOSPITAL | 861035549 - (AZ) BANNER HEART HOSPITAL | AZ | Special Hospital (284300000X) |
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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