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See a sample rate comparisonMS-DRG 388 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.
GASTROINTESTINAL OBSTRUCTION WITH MCC
| 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 388 by major payers:
$17,076.03
$19,332.84
$23,236.95
$23,566.11
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MS-DRG 388
5 of 25 sample ratesHigher to lower in this preview
St. Joseph Health Northern California, LLC, Providence Queen Of The Valley Medical Center
St Joseph Health Northern California LLC
$42,677.07Published rateNovant Health Matthews Medical Center LLC, Novant Health Matthews Medical Center
Novant Health Matthews Medical Center LLC
$28,743.89Published rateSsm Health Care St. Louis, Ssm Health St Joseph Hospital - Lake Saint Louis
Ssm Health Care St Louis
$17,346.28Published rateTitusville Area Hospital, Titusville Area Hospital Swing Bed
Titusville Area Hospital
$10,449.51Published rateNorth Sunflower Medical Center
$504.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 388 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 388 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 388 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 |
|---|---|---|
| 387-MS-DRG | High | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC |
| 388-MS-DRG | High | GASTROINTESTINAL OBSTRUCTION WITH MCC |
| 389-MS-DRG | High | GASTROINTESTINAL OBSTRUCTION WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 388. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 388 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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