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MS-DRG 379 Fee Schedule

Last Verified: October 2026

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.

GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
Key FactDetail
Service Type

Diseases & Disorders of the Digestive System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 379 by major payers:

bcbs

$7,797.41

uhc

$9,140.49

aetna

$10,437.79

cigna

$10,646.88

Compare published rates across providers.

Choose a payer to see a sample of rates for MS-DRG 379.

MS-DRG 379
5 of 25 sample ratesHigher to lower in this preview
  1. Banner Thunderbird Medical Center

    AZGeneral Acute Care HospitalNPI 1154355188Tax ID 27-0036484

    $14,162.88Published rate
  2. Advocate Health And Hospitals Corporation

    ILPsychiatric Hospital UnitNPI 1386188068Tax ID 36-2169147

    $11,496.88Published rate
  3. Overlake Hospital Medical Center

    WAGeneral Acute Care HospitalNPI 1861432726Tax ID 91-0652651

    $9,178.69Published rate
  4. Reunion Rehabilitation Hospital Jacksonville, LLC

    Reunion Rehabilitation Hospital Jacksonville LLC

    FLRehabilitation HospitalNPI 1043904949Tax ID 88-0596358

    $6,893.02Published rate
  5. Johnson Memorial Hospital, Johnson Memorial Hospital

    Johnson Memorial Hospital

    INGeneral Acute Care HospitalNPI 1346248986Tax ID 35-1166081

    $5,387.29Published rate

National sample. Rates vary by location, specialty, and contract.

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MS-DRG 379 vs. Other Diseases & Disorders of the Digestive System Codes

The MS-DRG 379 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 379 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.

CodeComplexityDescription
378-MS-DRGHighGASTROINTESTINAL HEMORRHAGE WITH CC
379-MS-DRGHighGASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
380-APR-DRGHighSKIN ULCERS
380-MS-DRGHighCOMPLICATED PEPTIC ULCER 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 379. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 379 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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