MS-DRG 379 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 379 by major payers:
$7,797.41
$9,140.49
$10,437.79
$10,646.88
| 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 379 | ||||||
United | 379 | $6893.02 | 1043904949 - REUNION REHABILITATION HOSPITAL JACKSONVILLE, LLC | 880596358 - (FL) REUNION REHABILITATION HOSPITAL JACKSONVILLE LLC | FL | Rehabilitation Hospital (283X00000X) |
United | 379 | $7054.00 | 1750395737 - HOLYOKE MEDICAL CENTER, INC. | 222520073 - (MA) HOLYOKE MEDICAL CENTER INC | MA | General Acute Care Hospital (282N00000X) |
United | 379 | $7008.56 | 1942399829 - HENRY FORD MACOMB HOSPITAL CORPORATION, HENRY FORD MACOMB HOSPITAL | 382947657 - (MI) HENRY FORD MACOMB HOSPITAL CORPORATION | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 379 | $6126.97 | 1841224870 - BANNER | 270036499 | AZ | General Acute Care Hospital (282N00000X) |
United | 379 | $13561.41 | 1891870812 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 379 | $5627.79 | 1396764080 - DECATUR GENERAL HOSPITAL, THE HEALTHCARE AUTHORITY OF MORGAN COUNTY | 460928982 | AL | General Acute Care Hospital (282N00000X) |
United | 379 | $13987.66 | 1598375271 - ASPIRUS WAUSAU HOSPITAL, INC., ASPIRUS PLOVER HOSPITAL | 391138241 - ASPIRUS WAUSAU HOSPITAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 379 | $6204.00 | 1770344665 - HH HEALTH SYSTEM | 934333907 | AL | General Acute Care Hospital (282N00000X) |
United | 379 | $8760.36 | 1598546723 - BAPTIST HEALTH, BAPTIST HEALTH MEDICAL CENTER - DREW MEMORIAL | 710236856 - (AR) BAPTIST HEALTH | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 379 | $11265.12 | 1548517410 - STONY BROOK UNIVERSITY HOSPITAL | 113243405 | NY | Children's Hospital (282NC2000X) |
United | 379 | $6893.02 | 1841258589 - CRIPPLED CHILDREN'S HOSPITAL, CHILDREN'S HOSPITAL | 540506309 - (VA) VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD | VA | Children's Hospital (282NC2000X) |
United | 379 | $12292.76 | 1750484721 - LOYOLA UNIVERSITY MEDICAL CENTER, FOSTER G. MCGAW HOSPITAL | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 379 | $6179.58 | 1811942238 - KPH-CONSOLIDATION, INC., HCA HOUSTON HEALTHCARE NORTH CYPRESS A CAMPUS OF HCA HOUSTON HEALTHCAR | 621619857 | TX | General Acute Care Hospital (282N00000X) |
United | 379 | $7154.91 | 1356312243 - BIG BEND HOSPITAL CORPORATION, BIG BEND REGIONAL MEDICAL CENTER | 752717545 | TX | Critical Access Hospital (282NC0060X) |
United | 379 | $5387.29 | 1346248986 - JOHNSON MEMORIAL HOSPITAL, JOHNSON MEMORIAL HOSPITAL | 351166081 - JOHNSON MEMORIAL HOSPITAL | IN | 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 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.
| Code | Complexity | Description |
|---|---|---|
| 378-MS-DRG | High | Gastrointestinal Hemorrhage with CC |
| 379-MS-DRG | High | Gastrointestinal Hemorrhage without CC/MCC |
| 380-APR-DRG | High | SKIN ULCERS |
| 380-MS-DRG | High | Complicated 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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