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See a sample rate comparisonMS-DRG 384 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.
UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
| 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 384 by major payers:
$10,057.00
$11,713.17
$13,792.31
$14,185.12
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MS-DRG 384
5 of 25 sample ratesHigher to lower in this preview
Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital- Rehabilitation Unit
$45,000.05Published rateWillamette Falls Hospital, Providence Willamette Falls Medical Center
$17,472.00Published rateSsm Health Care St. Louis, Ssm Health St. Clare Hospital - Fenton
Ssm Health Care St Louis
$10,905.65Published rateGraham Hospital District, Graham Regional Medical Center
$7,403.77Published rateClay County Medical Corporation, Clay County Medical Center-Hospitalist
Clay County Medical Corporation
$1,688.00Published rate
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See a sample payer proposalMS-DRG 384 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 384 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 384 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 |
|---|---|---|
| 383-APR-DRG | High | CELLULITIS & OTHER SKIN INFECTIONS |
| 383-MS-DRG | High | UNCOMPLICATED PEPTIC ULCER WITH MCC |
| 384-MS-DRG | High | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC |
| 385-APR-DRG | High | OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 384. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 384 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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