MS-DRG 382 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 382 by major payers:
$9,531.37
$10,860.51
$11,944.17
$12,319.15
| 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 382 | ||||||
United | 382 | $23757.80 | 1073765566 - NEW YORK PRESBYTERIAN/WEILL CORNELL HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Critical Access Hospital (282NC0060X) |
United | 382 | $13106.00 | 1851764328 - BANNER UNIVERSITY MEDICAL CENTER-TUCSON | 901074557 | AZ | General Acute Care Hospital (282N00000X) |
United | 382 | $15221.28 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 382 | $4887.68 | 1467556761 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS, MEMORIAL HERMANN BAPTIST BEAUMONT | 741303720 - BAPTIST HOSPITALS OF SOUTHEAST TEXAS | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 382 | $18139.57 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 382 | $9647.99 | 1538395975 - CATHOLIC HEALTH INITIATIVES, MERCYONE WEST DES MOINES MEDICAL CENTER | 420680448 - CATHOLIC HEALTH INITIATIVES-IOWA CORP | IA | General Acute Care Hospital (282N00000X) |
United | 382 | $10339.53 | 1558364760 - CLOUD COUNTY HEALTH CENTER INC, NORTH CENTRAL KANSAS MEDICAL CENTER | 480545923 - CLOUD COUNTY HEALTH CENTER INC | KS | Critical Access Hospital (282NC0060X) |
United | 382 | $22198.72 | 1174533343 - TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | 750972805 - (TX) TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 382 | $4729.00 | 1841308020 - ST. VINCENT'S EAST, ASCENSION ST. VINCENT'S EAST | 630578923 - (AL) ST VINCENTS EAST | AL | General Acute Care Hospital (282N00000X) |
United | 382 | $9833.42 | 1588976260 - VHS SINAI-GRACE HOSPITAL INC, SINAI-GRACE HOSPITAL | 272844632 | MI | Psychiatric Hospital Unit (273R00000X) |
United | 382 | $12386.54 | 1245353747 - DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT, COON MEMORIAL HOSPITAL | 751702162 | TX | Critical Access Hospital (282NC0060X) |
United | 382 | $12810.88 | 1114079019 - CITIZENS BAPTIST MEDICAL CENTER, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | Psychiatric Hospital Unit (273R00000X) |
United | 382 | $18696.13 | 1619176997 - PROVIDENCE HEALTH & SERVICES WASHINGTON | 910567732 | WA | General Acute Care Hospital (282N00000X) |
United | 382 | $19519.26 | 1356687735 - CENTRAL VALLEY PERFUSION, INC | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 382 | $10345.33 | 1720085137 - NAPLES COMMUNITY HOSPITAL INC, NCH HEALTHCARE SYSTEM INC | 590694358 - (FL) NAPLES COMMUNITY HOSPITAL INC | FL | 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 382 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 382 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 382 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 |
|---|---|---|
| 381-APR-DRG | High | MAJOR SKIN DISORDERS |
| 381-MS-DRG | High | Complicated Peptic Ulcer with CC |
| 382-MS-DRG | High | Complicated Peptic Ulcer without CC/MCC |
| 383-APR-DRG | High | CELLULITIS & OTHER SKIN INFECTIONS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 382. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 382 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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