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See a sample rate comparisonMS-DRG 390 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 WITHOUT CC/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 390 by major payers:
$6,939.50
$8,175.24
$9,010.49
$9,219.19
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MS-DRG 390
5 of 25 sample ratesHigher to lower in this preview
Banner Health
$12,636.66Published rateUniversity Of Texas Medical Branch At Galveston, University Of Texas Medical Branch
$9,484.62Published rateSkaggs Community Hospital Association, Cox Medical Center Branson
Skaggs Community Hospital Association
$6,688.97Published rateHamot Medical Center
UPMC
$5,317.14Published rateMadison County Hospital Health Systems, Inc., Madison County Memorial Hospital
Madison County Hospital Health Systems Inc
$3,192.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 390 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 390 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 390 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 |
|---|---|---|
| 389-MS-DRG | High | GASTROINTESTINAL OBSTRUCTION WITH CC |
| 390-MS-DRG | High | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC |
| 391-MS-DRG | High | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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 390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 390 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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