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See a sample rate comparisonMS-DRG 440 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.
DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 440 by major payers:
$8,010.85
$8,923.26
$10,072.05
$10,300.30
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MS-DRG 440
5 of 25 sample ratesHigher to lower in this preview
Mckee Medical Center
$18,554.49Published rateNewark Beth Israel Medical Center
$13,783.00Published rateRehabilitation Hospital, LLC
$7,482.62Published rateCarondelet Health Network, St Mary'S Hospital
$6,761.79Published rateMountain States Health Alliance, Johnson County Community Hospital
Mountain States Health Alliance
$3,564.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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