MS-DRG 378 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 378 by major payers:
$11,794.37
$13,472.12
$15,626.46
$15,998.47
| 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 378 | ||||||
United | 378 | $17482.76 | 1306823745 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL AT WESLEY WOODS | 580566256 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital (283X00000X) |
United | 378 | $23220.39 | 1801803903 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, QUEENS HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 378 | $26061.27 | 1447924154 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC, BAPTIST MEDICAL CENTER SOUTH | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | General Acute Care Hospital (282N00000X) |
United | 378 | $25906.49 | 1265092126 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 378 | $9289.04 | 1629026364 - ADVOCATE SHERMAN HOSPITAL, SHERMAN FAMILY HEALTHCARE | 362167920 - (IL) ADVOCATE SHERMAN HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 378 | $11635.40 | 1962455295 - IOM HEALTH SYSTEM LP, LUTHERAN HOSPITAL OF INDIANA-GERO PSYCH UNIT | 351963748 | IN | Psychiatric Hospital Unit (273R00000X) |
United | 378 | $19538.57 | 1386267714 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH CCMC INFUSION OUTPATIENT | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 378 | $13211.45 | 1841453644 - CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Rural Acute Care Hospital (282NR1301X) |
United | 378 | $10339.53 | 1023074028 - GEORGE COUNTY HOSPITAL | 646001398 | MS | Rural Acute Care Hospital (282NR1301X) |
United | 378 | $15853.26 | 1548294606 - EMANATE HEALTH MEDICAL CENTER, CITRUS VALLEY MEDICAL CENTER INC | 956006469 - (CA) EMANATE HEALTH MEDICAL CENTER | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 378 | $23981.02 | 1861630287 - UNIVERSITY COMMUNITY HOSPITAL, INC, ADVENTHEALTH TAMPA | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 378 | $16267.34 | 1164445250 - AVERA MCKENNAN, AVERA MCKENNAN BEHAVIORAL HEALTH SERVICES | 460224743 - AVERA MCKENNAN | SD | Psychiatric Hospital Unit (273R00000X) |
United | 378 | $10838.00 | 1801971965 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 378 | $10053.21 | 1053414037 - MARSHALL COUNTY HMA, LLC, ALLIANCEHEALTH MADILL | 383862800 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 378 | $16760.30 | 1356328199 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Rehabilitation Hospital (283X00000X) |
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 378 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 378 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 378 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 |
|---|---|---|
| 377-MS-DRG | High | Gastrointestinal Hemorrhage with MCC |
| 378-MS-DRG | High | Gastrointestinal Hemorrhage with CC |
| 379-MS-DRG | High | Gastrointestinal Hemorrhage 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 378. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 378 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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