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 | $22184.02 | 1508453754 - NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, NOVANT HEALTH NEW HANOVER REHABILITATION HOSPITAL | 853777599 | NC | Rehabilitation Hospital (283X00000X) |
United | 433 | $22184.02 | 1508453754 - NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, NOVANT HEALTH NEW HANOVER REHABILITATION HOSPITAL | 853777599 | NC | Rehabilitation Hospital (283X00000X) |
United | 433 | $14439.90 | 1821030842 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Psychiatric Hospital Unit (273R00000X) |
United | 433 | $9150.24 | 1881142461 - BAPTIST MEMORIAL HOSPITAL-CALHOUN INC | 813257997 - (MS) BAPTIST MEMORIAL HOSPITAL - CALHOUN INC | MS | Critical Access Hospital (282NC0060X) |
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 | $13686.88 | 1306889597 - VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT WILSON COUNTY HOSPITAL | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 433 | $16430.01 | 1083759633 - METHODIST HEALTH, INC., DEACONESS HENDERSON HOSPITAL | 610461753 - METHODIST HEALTH INC | KY | General Acute Care Hospital (282N00000X) |
United | 433 | $14394.16 | 1285678458 - CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER, BAYLOR ST. LUKE'S MEDICAL CENTER - REHABILITATION | 741161938 - CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 433 | $10080.08 | 1356723027 - PRIME HEALTHCARE SERVICES-PORT HURON LLC | 472361878 | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 433 | $7136.08 | 1134166192 - ORTHOPEDIC HOSPITAL LTD, TEXAS ORTHOPEDIC HOSPITAL | 760418502 - (TX) ORTHOPEDIC HOSPITAL LTD | TX | General Acute Care Hospital (282N00000X) |
United | 433 | $1875.00 | 1386630705 - STATE OF MISSISSIPPI, HOLMES COUNTY HOSPITAL AND CLINIC | 640662976 - NORTH MISSISSIPPI MEDICAL CENTER INC | MS | Critical Access Hospital (282NC0060X) |
United | 433 | $7866.00 | 1962442012 - LONG BEACH MEMORIAL MEDICAL | 953527031 - (CA) LONG BEACH MEMORIAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 433 | $12332.82 | 1104041698 - ST. ANTHONY'S HOSPITAL ASSOCIATION, ST. ANTHONY'S MEDICAL CENTER | 710245507 - (AR) ST ANTHONYS HOSPITAL ASSOCIATION | AR | Critical Access Hospital (282NC0060X) |
United | 433 | $18896.94 | 1164507133 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 433 | $27237.10 | 1902352008 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-SPARTANBURG | 811723202 - PRISMA HEALTH - UPSTATE | SC | 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 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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