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See a sample rate comparisonMS-DRG 419 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. WITHOUT CC/MCC
| 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 419 by major payers:
$15,187.06
$17,406.50
$20,623.94
$21,522.41
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MS-DRG 419
5 of 25 sample ratesHigher to lower in this preview
Orlando Health Central
Orlando Health Central Inc
$31,462.97Published rateAdventist Health System-Sunbelt, Inc, Adventhealth Orlando
Adventist Health System-Sunbelt Inc
$23,654.42Published rateMckenzie-Willamette Regional Medical Center Associates LLC, Mckenzie-Willamette Medical Center
Mckenzie-Willamette Regional Medical Center Associates, LLC
$20,810.83Published rateThe Brookdale Hospital Medical Center
Brookdale Hospital Medical Center
$15,397.70Published rateOur Lady Of The Lake Hospital Inc., Our Lady Of The Lake Regional Medical Center
Our Lady Of The Lake Hospital Inc
$9,744.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 419 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 419 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 419 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 |
|---|---|---|
| 418-APR-DRG | Moderate | Nervous System Malignancy |
| 418-MS-DRG | High | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC |
| 419-MS-DRG | High | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC |
| 420-APR-DRG | High | DIABETES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 419. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 419 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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