MS-DRG 433 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 433 by major payers:
$12,866.00
$14,811.87
$16,863.01
$17,306.38
| 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 433 | ||||||
United | 433 | $37431.48 | 1154373843 - PRISMA HEALTH-MIDLANDS, PRISMA HEALTH RICHLAND HOSPTIAL | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 433 | $13786.04 | 1487187191 - STEWARD HILLSIDE REHABILITATION HOSPITAL, INC. | 815446091 | OH | Rehabilitation Hospital (283X00000X) |
United | 433 | $23139.76 | 1679559553 - MEMORIAL MEDICAL CENTER | 370661220 - (IL) MEMORIAL HEALTH SYSTEM | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 433 | $23717.47 | 1144234428 - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | 60646813 - (CT) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | CT | Psychiatric Hospital Unit (273R00000X) |
United | 433 | $18038.97 | 1225291537 - CAPITAL AREA HEALTH | 66000798 | CT | General Acute Care Hospital (282N00000X) |
United | 433 | $9823.37 | 1043332927 - JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL, SCHNECK MEDICAL CENTER | 351163135 - JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL | IN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 433 | $2060.00 | 1699714717 - GREENWOOD LEFLORE HOSPITAL | 646000400 - (MS) GREENWOOD LEFLORE HOSPITAL | MS | General Acute Care Hospital (282N00000X) |
United | 433 | $24567.96 | 1245201656 - TEXAS INSTITUTE FOR SURGERY, LLP, TEXAS INSTITUTE FOR SURGERY AT TEXAS HEALTH PRESBYTERIAN DALLAS | 770628004 - (TX) TEXAS INSTITUTE FOR SURGERY, LLP | TX | General Acute Care Hospital (282N00000X) |
United | 433 | $36939.12 | 1881701217 - WASHINGTON HOSPITAL CENTER CORPORATION | 521272129 - (DC) WASHINGTON HOSPITAL CENTER CORPORATION | DC | Psychiatric Hospital (283Q00000X) |
United | 433 | $25230.16 | 1942404165 - ST JUDE HOSPITAL INC, PROVIDENCE ST. JUDE MEDICAL CENTER | 951643325 - (CA) ST JUDE HOSPITAL | CA | Rehabilitation Hospital (283X00000X) |
United | 433 | $20817.94 | 1457393035 - ST MARYS MEDICAL CENTER, ESSENTIA HEALTH ST MARYS MEDICAL CENTER | 410695604 - ST MARYS MEDICAL CENTER | MN | General Acute Care Hospital (282N00000X) |
United | 433 | $13667.00 | 1619041399 - JERSEY CITY MEDICAL CENTER | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 433 | $15758.15 | 1851568687 - DIGNITY HEALTH, ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 433 | $11181.20 | 1225678881 - LEHIGH VALLEY HOSPITAL | 843864735 | PA | Special Hospital (284300000X) |
United | 433 | $16295.19 | 1023308608 - ADVOCATE LUTHERAN GENERAL HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Children's Hospital (282NC2000X) |
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 433 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 433 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 433 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 |
|---|---|---|
| 432-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
| 432-MS-DRG | High | Cirrhosis and Alcoholic Hepatitis with MCC |
| 433-MS-DRG | High | Cirrhosis and Alcoholic Hepatitis with CC |
| 434-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 433. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 433 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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