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 | $5539.00 | 1255579389 - TEXAS REGIONAL MEDICAL CENTER, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER - SUNNYVALE | 510570864 - (TX) TEXAS REGIONAL MEDICAL CENTER, LTD | TX | General Acute Care Hospital (282N00000X) |
United | 384 | $12084.28 | 1659856060 - THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 560529945 | NC | General Acute Care Hospital (282N00000X) |
United | 384 | $19104.24 | 1902923170 - ASPIRUS WAUSAU HOSPITAL, INC, ASPIRUS WAUSAU HOSPITAL THERAPIES | 391138241 - ASPIRUS WAUSAU HOSPITAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 384 | $8314.76 | 1568739423 - THREE RIVERS HEALTH SYSTEM, INC, THREE RIVERS HEALTH | 451257972 - THREE RIVERS HEALTH SYSTEM INC | MI | General Acute Care Hospital (282N00000X) |
United | 384 | $24489.67 | 1952333205 - ST. MARY'S MEDICAL CENTER, INC, ST. MARY'S MEDICAL CENTER | 752932830 | FL | General Acute Care Hospital (282N00000X) |
United | 384 | $7298.52 | 1902878994 - COMMUNITY HOWARD REGIONAL HEALTH, INC | 351865344 - (IN) COMMUNITY HOWARD REGIONAL HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 384 | $3713.00 | 1689682999 - BERGEN COUNTY IMPROVEMENT AUTHORITY, BERGEN NEW BRIDGE MEDICAL CENTER | 223240487 | NJ | General Acute Care Hospital (282N00000X) |
United | 384 | $21374.08 | 1285293274 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 384 | $10974.28 | 1992934137 - J. ARTHUR DOSHER MEMORIAL HOSPITAL | 560845824 - (NC) J ARTHUR DOSHER MEMORIAL HOSPITAL | NC | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 384 | $10013.16 | 1477941862 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COXHEALTH BRANSON HOSPITALIST | 440577118 - LESTER E COX MEDICAL CENTER | MO | Hospitalist Physician (208M00000X) |
United | 384 | $20565.16 | 1265833487 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 384 | $5553.50 | 1326339862 - VALLEY MEDICAL FACILITIES, INC, HERITAGE VALLEY KENNEDY | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | Psychiatric Hospital Unit (273R00000X) |
United | 384 | $20636.75 | 1912061706 - GOOD SAMARITAN HOSPITAL | 131740104 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Hospitalist Physician (208M00000X) |
United | 384 | $17472.00 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 384 | $6965.00 | 1548380900 - HUNTERDON MEDICAL CENTER | 221537688 - HUNTERDON MEDICAL CENTER | NJ | 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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