MS-DRG 384 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 384 by major payers:
$10,057.00
$11,713.17
$13,792.31
$14,185.12
| 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 384 | ||||||
United | 384 | $19104.24 | 1558363986 - ASPIRUS WAUSAU HOSPITAL, INC | 391138241 - ASPIRUS WAUSAU HOSPITAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 384 | $17472.00 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 384 | $15783.80 | 1689635526 - HARPER-HUTZEL HOSPITAL | 272844767 | MI | General Acute Care Hospital (282N00000X) |
United | 384 | $8473.37 | 1710901178 - FORT PAYNE HOSPITAL CORPORATION, DEKALB REGIONAL MEDICAL CENTER | 934333907 | AL | General Acute Care Hospital (282N00000X) |
United | 384 | $7403.77 | 1881691061 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 384 | $7403.77 | 1881691061 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 384 | $11085.16 | 1073751699 - MERCY TYLER HOSPITAL, TYLER MEMORIAL HOSPITAL | 274566015 | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 384 | $10629.99 | 1801821947 - LESTER E COX MEDICAL CENTERS, COX MEDICAL CENTERS MEYER ORTHOPEDIC AND REHABILITATION HOSPITAL | 440577118 - LESTER E COX MEDICAL CENTER | MO | Rehabilitation Hospital Unit (273Y00000X) |
United | 384 | $24425.32 | 1144793654 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH LANCASTER REHABILITATION CENTER | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 384 | $8867.30 | 1053414037 - MARSHALL COUNTY HMA, LLC, ALLIANCEHEALTH MADILL | 383862800 | OK | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 384 | $22888.91 | 1477584993 - JFK MEMORIAL HOSPITAL, INC., JOHN F. KENNEDY MEMORIAL HOSPITAL | 752919774 | CA | General Acute Care Hospital (282N00000X) |
United | 384 | $6965.00 | 1548380900 - HUNTERDON MEDICAL CENTER | 221537688 - HUNTERDON MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 384 | $11733.50 | 1003235896 - , MARICOPA INTEGRATED HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 384 | $12256.34 | 1306829288 - DLP HAYWOOD REGIONAL MEDICAL CENTER LLC. | 300830918 | NC | General Acute Care Hospital (282N00000X) |
United | 384 | $15165.37 | 1992880058 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | 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 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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