MS-DRG 440 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 440 by major payers:
$8,010.85
$8,923.26
$10,072.05
$10,300.30
| 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 440 | ||||||
United | 440 | $18554.49 | 1336206580 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | Rehabilitation Hospital Unit (273Y00000X) |
United | 440 | $15660.45 | 1568918662 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-LAURENS | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 440 | $5392.83 | 1376537555 - COLUMBUS REGIONAL HEALTHCARE SYSTEM, SOUTH COLUMBUS MEDICAL CLINIC | 560538020 - (NC) COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | General Acute Care Hospital (282N00000X) |
United | 440 | $15660.45 | 1720747496 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH TRANSPLANT CENTER | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 440 | $6619.33 | 1467455154 - DESOTO HOSPITAL ASSOCIATION | 720500565 - (LA) DESOTO HOSPITAL ASSOCIATION | LA | General Acute Care Hospital (282N00000X) |
United | 440 | $16259.54 | 1457526154 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC, BAPTIST MEDICAL CENTER | 590747311 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | FL | Psychiatric Hospital (283Q00000X) |
United | 440 | $6397.04 | 1033289707 - CUYUNA REGIONAL MEDICAL CENTER, CUYUNA REGIONAL MEDICAL CENTER | 411724637 - (MN) CUYUNA REGIONAL MEDICAL CENTER | MN | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 440 | $18329.98 | 1558576280 - PRISMA HEALTH-MIDLANDS | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 440 | $5861.29 | 1497830806 - DELTA HEALTH SYSTEM, DELTA HEALTH-THE MEDICAL CENTER | 640586958 - (MS) DELTA HEALTH SYSTEM | MS | Psychiatric Hospital Unit (273R00000X) |
United | 440 | $6947.56 | 1346499910 - VIRGINIA HOSPITAL CENTER ARLINGTON | 540505989 - (VA) VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | VA | Rehabilitation Hospital Unit (273Y00000X) |
United | 440 | $6761.79 | 1437234580 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 440 | $12509.29 | 1902844988 - PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE | 421672810 - (CA) UNITED STATES CATHLOC CONFERENCE | CA | General Acute Care Hospital (282N00000X) |
United | 440 | $13783.00 | 1720383565 - NEWARK BETH ISRAEL MEDICAL CENTER | 223452311 | NJ | Children's Hospital (282NC2000X) |
United | 440 | $7459.93 | 1568538387 - PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK, PRESENCE ST. JOSEPH HOSPITAL - ELGIN PSYCHIATRIC UNIT | 364195126 - (IL) PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK | IL | Psychiatric Hospital Unit (273R00000X) |
United | 440 | $14125.76 | 1215296884 - TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | 451502252 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE | 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 440 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 440 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 440 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 |
|---|---|---|
| 439-APR-DRG | Moderate | Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies |
| 439-MS-DRG | High | Disorders of Pancreas except Malignancy with CC |
| 440-MS-DRG | High | Disorders of Pancreas except Malignancy without CC/MCC |
| 441-APR-DRG | High | MAJOR BLADDER PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 440 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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