MS-DRG 439 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 439 by major payers:
$10,628.99
$12,104.21
$13,699.60
$14,044.41
| 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 439 | ||||||
United | 439 | $20553.61 | 1194122390 - PROVIDENCE ST. VINCENT MEDICAL CENTER | 930386929 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | General Acute Care Hospital (282N00000X) |
United | 439 | $10123.00 | 1861423352 - LAKE POINTE PARTNERS, LTD., LAKE POINTE MEDICAL CENTER | 260194016 - (TX) LAKE POINTE OPERATING COMPANY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 439 | $10298.30 | 1225125859 - BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC, BMH-NORTH MISSISSIPPI | 640772726 - BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | MS | Rehabilitation Hospital Unit (273Y00000X) |
United | 439 | $23165.18 | 1891842308 - BON SECOURS COMMUNITY HOSPITAL | 141347717 - BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Psychiatric Hospital Unit (273R00000X) |
United | 439 | $15178.23 | 1063454544 - ST FRANCIS HOSPITAL INC, ST. FRANCIS INPATIENT REHAB | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | Rehabilitation Hospital (283X00000X) |
United | 439 | $15445.75 | 1306872023 - UNIVERSITY OF KANSAS MEDICAL CENTER | 481202402 - UNIVERSITY OF KANSAS HOSPITAL AUTHORITY | KS | Chronic Disease Hospital (281P00000X) |
United | 439 | $9042.73 | 1801990825 - SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC, MERCY HOSPITAL STODDARD | 461481133 - (MO) SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC | MO | General Acute Care Hospital (282N00000X) |
United | 439 | $11200.00 | 1275893307 - DOCTORS' HOSPITAL OF WILLIAMSBURG, RIVERSIDE DOCTORS HOSPITAL WILLIAMSBURG | 271540267 - (VA) RIVERSIDE HEALTHCARE ASSOCIATION INC | VA | General Acute Care Hospital (282N00000X) |
United | 439 | $11770.98 | 1174977557 - BBH CBMC, LLC, CITIZENS BAPTIST MEDICAL CENTER | 474802869 | AL | General Acute Care Hospital (282N00000X) |
United | 439 | $10271.80 | 1487848768 - DUBOIS REGIONAL MEDICAL CENTER, PENN HIGHLANDS DUBOIS BEHAVIORAL HEALTH CENTER | 251490707 - DUBOIS REGIONAL MEDICAL CENTER | PA | Psychiatric Hospital Unit (273R00000X) |
United | 439 | $10932.28 | 1891059127 - CHHP HOLDINGS II, LLC, COMMUNITY HOSPITAL OF HUNTINGTON PARK | 272133159 - (CA) CHHP HOLDINGS II LLC | CA | General Acute Care Hospital (282N00000X) |
United | 439 | $16335.20 | 1063018927 - ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC, ASCENSION WISCONSIN HOSPITAL - MENOMONEE FALLS CAMPUS | 852744492 - ASCENSION WISCONSIN EMERUS MENOMONEE FALLS LLC | WI | General Acute Care Hospital (282N00000X) |
United | 439 | $13565.34 | 1215598156 - AHN EMERUS WESTMORELAND LLC, AHN BRENTWOOD NEIGHBORHOOD HOSPITAL | 823697883 - (PA) AHN EMERUS WESTMORELAND LLC | PA | General Acute Care Hospital (282N00000X) |
United | 439 | $10787.76 | 1851496152 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. CLARE HOSPITAL - FENTON | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 439 | $10066.55 | 1255404281 - FRANKFORD HOSPITAL | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | 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 439 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 439 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 439 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 |
|---|---|---|
| 438-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
| 438-MS-DRG | High | Disorders of Pancreas except Malignancy with MCC |
| 439-MS-DRG | High | Disorders of Pancreas except Malignancy with CC |
| 440-APR-DRG | High | KIDNEY TRANSPLANT |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 439. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 439 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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