MS-DRG 432 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 432 by major payers:
$21,672.36
$25,099.68
$30,810.64
$31,184.68
| 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 432 | ||||||
United | 432 | $34039.42 | 1265698948 - UNIVERSITY OF IOWA HOSPITAL AND CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 432 | $16945.13 | 1336119478 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL EAST | 350983617 - COMMUNITY HEALTH NETWORK INC | IN | General Acute Care Hospital (282N00000X) |
United | 432 | $20648.73 | 1306212923 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 432 | $53785.12 | 1093009151 - USC UNIVERSITY HOSPITAL | 851644866 - (CA) KECK MEDICAL CENTER OF USC | CA | General Acute Care Hospital (282N00000X) |
United | 432 | $67445.11 | 1801212410 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | Rehabilitation Hospital Unit (273Y00000X) |
United | 432 | $21702.97 | 1073536553 - DUBOIS REGIONAL MEDICAL CENTER, DRMC SWING BED | 251490707 - DUBOIS REGIONAL MEDICAL CENTER | PA | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 432 | $33702.39 | 1144471715 - PROVIDENCE HEALTH & SERVICES, PROV SCRED HRT MED CTR & CHLDS HOS | 364640211 | WA | General Acute Care Hospital (282N00000X) |
United | 432 | $32146.86 | 1760543342 - COVENANT HEALTH SYSTEM, COVENANT MEDICAL CENTER | 822913146 - (TX) COVENANT MEDICAL CENTER | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 432 | $1660.00 | 1053497388 - CARTHAGE AREA HOSPITAL INC | 150622079 - CARTHAGE AREA HOSPITAL INC | NY | Critical Access Hospital (282NC0060X) |
United | 432 | $9326.00 | 1588823108 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 432 | $49657.76 | 1699705426 - TENET HOSPITALS LIMITED, DOCTORS HOSPITAL AT WHITE ROCK LAKE | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 432 | $23242.75 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 432 | $51951.41 | 1720011810 - BANNER DESERT MEDICAL CENTER | 900054201 - (AZ) BANNER DESERT MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 432 | $20809.84 | 1134162746 - LONE STAR HMA L P, MESQUITE COMMUNITY HOSPITAL | 472177648 | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 432 | $15869.20 | 1114998911 - GRANBURY HOSPITAL CORPORATION, LAKE GRANBURY MEDICAL CENTER | 752682017 - (TX) GRANBURY HOSPITAL CORPORATION | TX | 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 432 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 432 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 432 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 |
|---|---|---|
| 430-MS-DRG | High | Combined Anterior and Posterior Cervical Spinal Fusion without MCC |
| 432-MS-DRG | High | Cirrhosis and Alcoholic Hepatitis with MCC |
| 433-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
| 433-MS-DRG | High | Cirrhosis and Alcoholic Hepatitis 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 432. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 432 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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