MS-DRG 390 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 390 by major payers:

$6,939.50

$8,175.24

$9,010.49

$9,219.19
| 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 390 | ||||||
United | 390 | $16087.67 | 1316933609 - PHYSICIANS MEDICAL CENTER, LLC, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY PLANO | 481281376 - (TX) PHYSICIANS MEDICAL CENTER, LLC DBA TEXAS HEALTH CENTER FOR DIAGNOSTICS | TX | General Acute Care Hospital (282N00000X) |
United | 390 | $10442.67 | 1306406285 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 390 | $5317.14 | 1922253152 - HAMOT MEDICAL CENTER | 250965387 - (PA) UPMC | PA | General Acute Care Hospital (282N00000X) |
United | 390 | $9571.08 | 1851764328 - BANNER UNIVERSITY MEDICAL CENTER-TUCSON | 901074557 | AZ | General Acute Care Hospital (282N00000X) |
United | 390 | $6893.02 | 1902870132 - ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE, LLC, ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SCOTTSDALE | 631184846 | AZ | Rehabilitation Hospital (283X00000X) |
United | 390 | $9571.08 | 1851764328 - BANNER UNIVERSITY MEDICAL CENTER-TUCSON | 901074557 | AZ | General Acute Care Hospital (282N00000X) |
United | 390 | $6688.97 | 1760443980 - SKAGGS COMMUNITY HOSPITAL ASSOCIATION, COX MEDICAL CENTER BRANSON | 440584290 - (MO) SKAGGS COMMUNITY HOSPITAL ASSOCIATION | MO | General Acute Care Hospital (282N00000X) |
United | 390 | $3564.00 | 1194104687 - SMYTH COUNTY COMMUNITY HOSPITAL, CENTER FOR SLEEP DISORDERS AT SCCH | 540794913 - (VA) SMYTH COUNTY COMMUNITY HOSPITAL | VA | General Acute Care Hospital (282N00000X) |
United | 390 | $7802.20 | 1942248737 - MARYMOUNT HOSPITAL INC, MARYMOUNT HOSPITAL | 340714458 - (OH) MARYMOUNT HOSPITAL INC | OH | General Acute Care Hospital (282N00000X) |
United | 390 | $5443.54 | 1477531143 - VHS ACQUISITION SUBSIDIARY NUMBER 3 INC | 352637418 | IL | Psychiatric Hospital Unit (273R00000X) |
United | 390 | $9951.66 | 1407803638 - ASCENSION NE WISCONSIN, INC, ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS | 390816818 - ASCENSION NE WISCONSIN INC | WI | General Acute Care Hospital (282N00000X) |
United | 390 | $10029.70 | 1295824183 - OHIO STATE UNIVERSITY HOSPITAL EAST, ARTHUR JAMES HOSPITAL | 311340739 | OH | General Acute Care Hospital (282N00000X) |
United | 390 | $10029.70 | 1295824183 - OHIO STATE UNIVERSITY HOSPITAL EAST, ARTHUR JAMES HOSPITAL | 311340739 | OH | General Acute Care Hospital (282N00000X) |
United | 390 | $5846.27 | 1770717167 - EAST TEXAS MEDICAL CENTER HENDERSON | 824019349 | TX | Rural Acute Care Hospital (282NR1301X) |
United | 390 | $9171.62 | 1750381281 - LAWRENCE GENERAL HOSPITAL | 42103586 - LAWRENCE GENERAL HOSPITAL | MA | 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 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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