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See a sample rate comparisonMS-DRG 418 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.
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
| 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 418 by major payers:
$19,892.40
$21,973.25
$25,880.73
$26,893.83
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MS-DRG 418
5 of 25 sample ratesHigher to lower in this preview
Desert Regional Medical Center, Inc., Desert Regional Medical Center
$63,551.51Published rateVhs San Antonio Partners LLC, Baptist Health System
$28,932.44Published rateJohnston Health Services Corporation, Johnston Health
Johnston Health Services Corporation
$23,351.68Published rateSt. Anthony Shawnee Hospital, Inc., Ssm Health St. Anthony Hospital - Shawnee
St Anthony Shawnee Hospital Inc
$16,937.22Published rateShriners Hospitals For Children
$3,665.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 418 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 418 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 418 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 |
|---|---|---|
| 417-MS-DRG | High | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC |
| 418-MS-DRG | High | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC |
| 419-APR-DRG | Moderate | Nervous System Malignancy |
| 419-MS-DRG | High | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/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 418. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 418 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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