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See a sample rate comparisonMS-DRG 386 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.
INFLAMMATORY BOWEL DISEASE WITH CC
| 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 386 by major payers:
$11,964.90
$13,601.37
$15,764.84
$16,130.05
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MS-DRG 386
5 of 25 sample ratesHigher to lower in this preview
University Of Vermont Medical Center Inc
$31,694.56Published rateAlegent Creighton Health, Chi Health Lakeside
Alegent Creighton Health
$18,675.55Published rateStaten Island University Hospital
$15,806.00Published rateCaritas Norwood Hospital
Steward Norwood Hospital, Inc.
$10,781.53Published rateSmyth County Community Hospital, Southwest Virginia Inpatient Rehabilitaion Unit
Smyth County Community Hospital
$4,158.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 386 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 386 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 386 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 |
|---|---|---|
| 385-APR-DRG | High | OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
| 385-MS-DRG | High | INFLAMMATORY BOWEL DISEASE WITH MCC |
| 386-MS-DRG | High | INFLAMMATORY BOWEL DISEASE WITH CC |
| 387-MS-DRG | High | INFLAMMATORY BOWEL DISEASE WITHOUT CC/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 386. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 386 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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