MS-DRG 441 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 441 by major payers:
$21,616.54
$24,439.65
$29,829.20
$30,149.69
| 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 441 | ||||||
United | 441 | $6361.00 | 1053776591 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | Psychiatric Hospital Unit (273R00000X) |
United | 441 | $19240.49 | 1669870937 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 441 | $20362.49 | 1023097540 - ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER, HSHS ST. ELIZABETH'S HOSPITAL | 370663567 - (IL) ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 441 | $20781.16 | 1700961869 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 441 | $19240.49 | 1669870937 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | Rehabilitation Hospital Unit (273Y00000X) |
United | 441 | $22628.08 | 1205923414 - MEMORIAL HOSPITAL, MEMORIAL HEALTHCARE | 381358208 - MEMORIAL HOSPITAL | MI | Rehabilitation Hospital Unit (273Y00000X) |
United | 441 | $38913.87 | 1225156888 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER KENOSHA | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 441 | $15626.50 | 1023011657 - SWEENY HOSPITAL DISTRICT, SWEENY COMMUNITY HOSPITAL | 741498067 | TX | Critical Access Hospital (282NC0060X) |
United | 441 | $5526.00 | 1588817225 - PARADISE VALLEY HOSPITAL | 205837239 | CA | General Acute Care Hospital (282N00000X) |
United | 441 | $38401.64 | 1942784715 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - DEL CITY | 352635546 - (OK) IACCEHI NW LLC | OK | General Acute Care Hospital (282N00000X) |
United | 441 | $31278.56 | 1598797094 - SLH VISTA, INC., SAINT LOUIS UNIVERSITY HOSPITAL | 474196634 - (MO) SSM-SLUH INC | MO | General Acute Care Hospital (282N00000X) |
United | 441 | $6361.00 | 1053776591 - WESLEY HEALTH SYSTEM LLC, MERIT HEALTH WESLEY | 522050792 | MS | Psychiatric Hospital Unit (273R00000X) |
United | 441 | $51118.30 | 1881033595 - MCLEOD REGIONAL HEALTH CENTER | 570370242 - MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC | SC | General Acute Care Hospital (282N00000X) |
United | 441 | $22136.58 | 1407989288 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | Psychiatric Hospital Unit (273R00000X) |
United | 441 | $22117.67 | 1255640819 - VHS OF ARROWHEAD, INC., ABRAZO ARIZONA HEART HOSPITAL | 621811285 | AZ | 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 441 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 441 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 441 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 |
|---|---|---|
| 440-APR-DRG | High | KIDNEY TRANSPLANT |
| 440-MS-DRG | High | Disorders of Pancreas except Malignancy without CC/MCC |
| 441-MS-DRG | High | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC |
| 442-APR-DRG | High | KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 441 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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