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See a sample rate comparisonMS-DRG 434 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.
CIRRHOSIS AND ALCOHOLIC HEPATITIS 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 434 by major payers:
$8,656.57
$10,213.84
$11,082.52
$11,472.88
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MS-DRG 434
5 of 25 sample ratesHigher to lower in this preview
Cherokee Medical Center, Cmc Wound Services
$19,639.21Published rateUnited Health Services Hospitals, Inc
United Health Services Hospitals Inc
$12,602.00Published rateBay County Health System, LLC, Ascension Sacred Heart Bay
$11,704.87Published rateSmsj Tucson Holdings LLC, St. Josephs Hospital
$7,656.62Published ratePontotoc Health Services, Inc., Pontotoc Health Services Cah
Pontotoc Health Services Inc
$1,864.00Published rate
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See a sample payer proposalMS-DRG 434 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 434 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 434 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 |
|---|---|---|
| 433-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
| 433-MS-DRG | High | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC |
| 434-MS-DRG | High | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC |
| 435-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 434. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 434 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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