MS-DRG 392 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 392 by major payers:
$9,003.82
$11,220.96
$12,960.03
$12,778.14
| 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 392 | ||||||
United | 392 | $15851.00 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 392 | $5639.00 | 1912975228 - OHI WEST, INC, BAYFRONT HEALTH ST. PETERSBURG | 845074208 - (FL) OHI WEST INC | FL | Rehabilitation Hospital Unit (273Y00000X) |
United | 392 | $1286.00 | 1548333438 - ARKANSAS METHODIST HOSPITAL CORPORATION, ARKANSAS METHODIST MEDICAL CENTER | 710230218 - ARKANSAS METHODIST HOSPITAL CORPORATION | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 392 | $16801.08 | 1306992151 - SWEDISH HEALTH SERVICES, SWEDISH MEDICAL CENTER | 910433740 - (WA) SWEDISH HEALTH SERVICES | WA | General Acute Care Hospital (282N00000X) |
United | 392 | $14772.41 | 1427064310 - MARY IMMACULATE HOSPITAL LLC, MARY IMMACULATE HOSPITAL | 540548200 | VA | General Acute Care Hospital (282N00000X) |
United | 392 | $10762.71 | 1710039508 - THE METHODIST HOSPITALS, INC. | 350868133 - METHODIST HOSPITALS INC | IN | Rehabilitation Hospital Unit (273Y00000X) |
United | 392 | $8486.38 | 1831387018 - ARMSTRONG COUNTY MEMORIAL HOSPITAL, ACMH HOSPITALIST | 250965237 - ARMSTRONG COUNTY MEMORIAL HOSPITAL | PA | Hospitalist Physician (208M00000X) |
United | 392 | $14967.25 | 1023028651 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC, BON SECOURS MEMORIAL REGIONAL PRO FEE SEVICES | 541744931 - BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC | VA | General Acute Care Hospital (282N00000X) |
United | 392 | $8598.00 | 1083612881 - ENGLEWOOD HOSPITAL AND MEDICAL CENTER | 221487173 - (NJ) ENGLEWOOD HOSPITAL AND MEDICAL CENTER A NEW JERSEY NONPROFIT CORP | NJ | General Acute Care Hospital (282N00000X) |
United | 392 | $9114.88 | 1528052578 - LECONTE MEDICAL CENTER | 621114867 - (TN) LECONTE MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 392 | $4725.60 | 1023237674 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | 916013490 - PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY | WA | Critical Access Hospital (282NC0060X) |
United | 392 | $15974.09 | 1538693825 - UPMC CARLISLE | 820880337 - (PA) UPMC CARLISLE | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 392 | $7866.00 | 1720371065 - LONG BEACH MEMORIAL MEDICAL, COMMUNITY HOSPITAL LONG BEACH | 953527031 - (CA) LONG BEACH MEMORIAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 392 | $8093.25 | 1578550174 - GARDEN CITY HOSPITAL | 464719451 - (MI) PRIME HEALTHCARE SERVICES -- GARDEN CITY, LLC | MI | General Acute Care Hospital (282N00000X) |
United | 392 | $16451.84 | 1356307581 - NEBRASKA MEDICAL CENTER, THE NEBRASKA MEDICAL CENTER - NEBRASKA MEDICINE | 911858433 - (NE) THE NEBRASKA MEDICAL CENTER | NE | 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 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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