MS-DRG 387 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 387 by major payers:
$8,732.37
$10,049.75
$11,018.29
$11,078.53
| 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 387 | ||||||
United | 387 | $11049.00 | 1902842735 - HENRY FORD MACOMB HOSPITAL CORPORATION, HENRY FORD MACOMB HOSPITAL- WARREN CAMPUS | 381357020 - HENRY FORD HEALTH SYSTEM | MI | General Acute Care Hospital (282N00000X) |
United | 387 | $5436.12 | 1356398127 - ANDREWS COUNTY HOSPITAL DISTRICT, PERMIAN REG MED CTR SWING BED | 751997880 - (TX) ANDREWS COUNTY HOSPITAL DISTRICT | TX | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 387 | $11871.87 | 1295824001 - MERCY HEALTH SERVICES-IOWA CORP, ACUTE REHABILITATON UNIT | 311373080 - MERCY HEALTH SERVICES IOWA CORP | IA | Rehabilitation Hospital Unit (273Y00000X) |
United | 387 | $14030.71 | 1407020118 - BOARD OF TRUSTEE OF HOWARD COMMUNITY HOSPITAL, HOWARD REGIONAL HEALTH SYSTEM | 351865344 - (IN) COMMUNITY HOWARD REGIONAL HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 387 | $7420.22 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 387 | $7743.31 | 1386786119 - SSM REGIONAL HEALTH SERVICES, ST, MARY'S HEALTH CENTER BHM | 440546097 | MO | Psychiatric Hospital Unit (273R00000X) |
United | 387 | $9649.63 | 1205904885 - JEFFERSON HEALTH, ARIA HEALTH BUCKS COUNTY CAMPUS | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | General Acute Care Hospital (282N00000X) |
United | 387 | $8555.04 | 1265454391 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE MERCY MEDICAL CENTER | 992367318 | IL | General Acute Care Hospital (282N00000X) |
United | 387 | $5925.29 | 1619163854 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL NORTH | 743230935 | IN | General Acute Care Hospital (282N00000X) |
United | 387 | $12946.58 | 1902865355 - GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 387 | $8990.79 | 1417990805 - NORTHFIELD HOSPITAL, NORTHFIELD HOSPITAL | 416007241 | MN | Rural Acute Care Hospital (282NR1301X) |
United | 387 | $2809.22 | 1265449870 - PUNXSUTAWNEY AREA HOSPITAL INC | 250965210 - (PA) PUNXSUTAWNEY AREA HOSPITAL INC | PA | General Acute Care Hospital (282N00000X) |
United | 387 | $12573.49 | 1790162055 - SCL HEALTH WESTMINSTER, LLC, SCL HEALTH COMMUNITY HOSPITAL - NORTHGLENN | 840417134 - (CO) SAINT JOSEPH HOSPITAL | CO | General Acute Care Hospital (282N00000X) |
United | 387 | $17247.81 | 1225370448 - SENTARA HOSPITALS, SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | Psychiatric Hospital Unit (273R00000X) |
United | 387 | $7420.22 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS 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 387 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 387 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 387 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 |
|---|---|---|
| 386-MS-DRG | High | Inflammatory Bowel Disease with CC |
| 387-MS-DRG | High | Inflammatory Bowel Disease without CC/MCC |
| 388-MS-DRG | High | Gastrointestinal Obstruction with 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 387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 387 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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