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 | $17155.14 | 1609007525 - BELLEVUE MEDICAL CENTER LLC, BELLEVUE MEDICAL CENTER - NEBRASKA MEDICINE | 204305186 - (NE) BELLEVUE MEDICAL CENTER LLC | NE | General Acute Care Hospital (282N00000X) |
United | 387 | $11367.62 | 1558333864 - DYERSBURG HEALTH, WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL | 825179383 - (TN) DYERSBURG HEALTH | TN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 387 | $4183.52 | 1467697953 - UNIVERSITY COMMUNITY HOSPITAL, INC, FLORIDA HOSPITAL AT CONNERTON LONG TERM ACUTE CARE HOSPITAL | 591113901 - (FL) UNIVERSITY COMMUNITY HOSPITAL INC | FL | Long Term Care Hospital (282E00000X) |
United | 387 | $6310.81 | 1295755353 - HSHS HOLY FAMILY HOSPITAL INC | 370792770 - (IL) HSHS HOLY FAMILY HOSPITAL INC | IL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 387 | $6998.99 | 1104823178 - MERCY HOSPITAL SCRANTON PENNSYLVANIA | 274564798 | PA | General Acute Care Hospital (282N00000X) |
United | 387 | $7774.10 | 1588699599 - BLADEN COUNTY HOSPITAL | 800164702 | NC | Critical Access Hospital (282NC0060X) |
United | 387 | $16144.84 | 1447227491 - HEALTHALLIANCE MARYS AVENUE CAMPUS, BENEDICTINE HOSPITAL | 141338470 - (NY) HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 387 | $10339.53 | 1306035829 - ST. LUKES HOSPITAL INC. | 560543246 - FLETCHER HOSPITAL INC | NC | Critical Access Hospital (282NC0060X) |
United | 387 | $9218.25 | 1689658791 - ROGER WILLIAMS HOSPITAL | 464648465 | RI | Psychiatric Hospital Unit (273R00000X) |
United | 387 | $30799.01 | 1184654923 - DOCTORS MEDICAL CENTER OF MODESTO, INC., DOCTORS MEDICAL CENTER OF MODESTO | 952588614 | CA | General Acute Care Hospital (282N00000X) |
United | 387 | $7774.10 | 1588699599 - BLADEN COUNTY HOSPITAL | 800164702 | NC | Critical Access Hospital (282NC0060X) |
United | 387 | $9754.87 | 1720434806 - THEDACARE REGIONAL MEDICAL CENTER, THEDA CLARK MEDICAL CENTER, INC. | 390830664 - (WI) THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | WI | General Acute Care Hospital (282N00000X) |
United | 387 | $1931.00 | 1649311507 - JACKSON COUNTY HOSPITAL DISTRICT, JACKSON HOSPITAL | 596001321 - (FL) JACKSON COUNTY HOSPITAL DISTRICT | FL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 387 | $9596.69 | 1184948762 - HAYWOOD REGIONAL MEDICAL CENTER | 300830918 | NC | General Acute Care Hospital (282N00000X) |
United | 387 | $6789.47 | 1356320469 - MEMORIAL HOSPITAL | 356001853 - (IN) MEMORIAL HOSPITAL | IN | 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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