MS-DRG 408 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 Hepatobiliary System & Pancreas |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 408 by major payers:
$45,739.33
$46,007.52
$55,204.44
$56,609.70
| 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 408 | ||||||
United | 408 | $51465.12 | 1740271295 - WICHITA COUNTY HEALTH CENTER | 486075632 | KS | General Acute Care Hospital (282N00000X) |
United | 408 | $42089.12 | 1346241973 - CORNING HOSPITAL | 160393490 - (NY) CORNING HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 408 | $27540.65 | 1275592131 - METHODIST HOSPITALS OF DALLAS, METHODIST CHARLTON MEDICAL CENTER | 750800661 - METHODIST HOSPITALS OF DALLAS | TX | General Acute Care Hospital (282N00000X) |
United | 408 | $52165.60 | 1306176839 - ORTHOCOLORADO, LLC, ORTHO COLORADO HOSPITAL AT ST ANTHONY MEDI | 371577105 - (CO) ORTHOCOLORADO HOSPITAL | CO | Special Hospital (284300000X) |
United | 408 | $51465.12 | 1740271295 - WICHITA COUNTY HEALTH CENTER | 486075632 | KS | General Acute Care Hospital (282N00000X) |
United | 408 | $23580.68 | 1952538431 - METHODIST MCKINNEY HOSPITAL LLC | 208847736 - (TX) METHODIST MCKINNEY HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 408 | $5185.00 | 1992772008 - IRVING COPPELL SURGICAL HOSPITAL | 542086863 | TX | Special Hospital (284300000X) |
United | 408 | $34946.48 | 1366585184 - GENEVA GENERAL HOSPITAL, GENEVA GENERAL HOSPITAL PHYS MED & REHAB | 160743032 - (NY) GENEVA GENERAL HOSPITAL | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 408 | $36623.60 | 1689628232 - CHI ST VINCENT HOSPITAL HOT SPRINGS | 710236913 - CHI ST VINCENT HOSPITAL HOT SPRINGS | AR | General Acute Care Hospital (282N00000X) |
United | 408 | $31658.08 | 1427041516 - INDIANA REGIONAL MEDICAL CENTER | 250965404 - (PA) INDIANA REGIONAL MEDICAL CENTER | PA | Rural Acute Care Hospital (282NR1301X) |
United | 408 | $71934.21 | 1881647204 - THE PRESBYTERIAN HOSPITAL, NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER | 560554230 - PRESBYTERIAN HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 408 | $47701.71 | 1548471337 - TATTNALL COMMUNITY HOSPITAL, TATTNALL COMMUNITY HOSPITAL | 300466706 | GA | Critical Access Hospital (282NC0060X) |
United | 408 | $47701.71 | 1548471337 - TATTNALL COMMUNITY HOSPITAL, TATTNALL COMMUNITY HOSPITAL | 300466706 | GA | Critical Access Hospital (282NC0060X) |
United | 408 | $29668.25 | 1962455816 - CHCA CONROE LP, CONROE REGIONAL MEDICAL CENTER | 621801361 - (TX) CHCA CONROE LP | TX | General Acute Care Hospital (282N00000X) |
United | 408 | $70026.00 | 1821091059 - WAYNESBORO HOSPITAL, WELLSPAN WAYNESBORO HOSPITAL | 231360854 - (PA) WAYNESBORO HOSPITAL | PA | 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 408 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 408 code is part of the Diseases & Disorders of the Hepatobiliary System & Pancreas 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 408 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 |
|---|---|---|
| 407-APR-DRG | Moderate | Spinal Disorders And Injuries |
| 407-MS-DRG | High | Pancreas, Liver and Shunt Procedures without CC/MCC |
| 408-MS-DRG | High | Biliary Tract Procedures except Only Cholecystectomy with OR Without C.D.E. with MCC |
| 409-MS-DRG | High | Biliary Tract Procedures except Only Cholecystectomy with OR Without C.D.E. 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 408. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 408 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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