MS-DRG 442 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 442 by major payers:
$11,497.47
$13,265.30
$15,404.81
$15,706.71
| 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 442 | ||||||
United | 442 | $32591.85 | 1740059948 - EAST COOPER MEDICAL CENTER LLC | 934555562 | SC | Rehabilitation Hospital Unit (273Y00000X) |
United | 442 | $8543.13 | 1073200309 - PECOS COUNTY MEMORIAL HOSPITAL DISTRICT | 921628671 | TX | Critical Access Hospital (282NC0060X) |
United | 442 | $17858.26 | 1508843566 - NOVANT HEALTH ROWAN MEDICAL CENTER LLC, NOVANT HEALTH ROWAN MEDICAL CENTER | 560547479 - (NC) ROWAN REGIONAL MEDICAL CENTER, INC. | NC | General Acute Care Hospital (282N00000X) |
United | 442 | $7999.14 | 1679528889 - ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 442 | $7371.81 | 1417471467 - WEATHERFORD HEALTH SERVICES, LLC, MEDICAL CITY WEATHERFORD | 822073410 - (TX) WEATHERFORD HEALTH SERVICES LLC | TX | General Acute Care Hospital (282N00000X) |
United | 442 | $25621.68 | 1932543428 - BANNER GOLDFIELD MEDICAL CENTER | 900981239 - (AZ) BANNER GOLDFIELD MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 442 | $16633.00 | 1962504340 - TEXAS HEART HOSPITAL OF THE SOUTHWEST LLP, BAYLOR SCOTT & WHITE THE HEART HOSPITAL - PLANO | 412101361 - (TX) TEXAS HEART HOSPITAL OF THE SOUTHWEST, L.L.P | TX | General Acute Care Hospital (282N00000X) |
United | 442 | $20914.36 | 1649980137 - UCH-MHS | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 442 | $13259.16 | 1740805423 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 442 | $7352.77 | 1992341473 - MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | 843730625 - (KS) MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | KS | Special Hospital (284300000X) |
United | 442 | $47107.07 | 1770502635 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK-PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | Psychiatric Hospital (283Q00000X) |
United | 442 | $6640.68 | 1215151154 - PORTER HOSPITAL LLC, NORTHWEST HEALTH-PORTER | 351088541 | IN | General Acute Care Hospital (282N00000X) |
United | 442 | $2626.00 | 1811915838 - TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC., TAKOMA ADVENTIST HOSPITAL | 510603966 - TAKOMA REGIONAL HOSPITAL INC | TN | Psychiatric Hospital Unit (273R00000X) |
United | 442 | $10339.53 | 1043311715 - SHEPHERD CENTER INC | 510141601 - (GA) SHEPHERD CENTER INC | GA | Long Term Care Hospital (282E00000X) |
United | 442 | $11548.01 | 1205251204 - PROSPECT CHARTERCARE SJHSRI, LLC, SOUTHERN NEW ENGLAND REHABILITATION CENTER | 464661337 | RI | Rehabilitation Hospital Unit (273Y00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
MS-DRG 442 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 442 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 442 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 |
|---|---|---|
| 441-APR-DRG | High | MAJOR BLADDER PROCEDURES |
| 441-MS-DRG | High | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC |
| 442-MS-DRG | High | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC |
| 443-APR-DRG | High | KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 442. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 442 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like MS-DRG 442) and we'll show you how you compare in 15 minutes or less.