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See a sample rate comparisonMS-DRG 392 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.
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 392 by major payers:
$9,003.82
$11,220.96
$12,960.03
$12,778.14
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MS-DRG 392
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company, LLC, Valley Baptist Medical Center - Harlingen
$20,221.63Published rateOhio State University Hospitals
$15,520.95Published rateSt Elizabeths Hospital Of The Hospital Sisters Of The Third Order, Hshs St. Elizabeth'S Hospital
St Elizabeths Hospital Of The Hospital Sisters Of The Third Orde
$9,734.24Published rateGarden City Hospital
Prime Healthcare Services -- Garden City, LLC
$8,093.25Published rateFreedom Hospital Of Magnolia LLC, Beacham Memorial Hospital
$1,000.00Published rate
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See a sample payer proposalMS-DRG 392 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 392 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 392 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 |
|---|---|---|
| 391-MS-DRG | High | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC |
| 392-MS-DRG | High | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC |
| 393-MS-DRG | High | OTHER DIGESTIVE SYSTEM DIAGNOSES 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 392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 392 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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