MS-DRG 443 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 443 by major payers:
$8,383.48
$10,311.35
$11,539.69
$11,692.09
| 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 443 | ||||||
United | 443 | $4120.00 | 1033214440 - JOHNSTON MEMORIAL HOSPITAL, JOHNSTON MEMORIAL HOSPITAL ER PHYSICIANS | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 443 | $18215.39 | 1295718450 - CENTRASTATE MEDICAL CENTER, INC | 221750190 - (NJ) CENTRASTATE MEDICAL CENTER INC | NJ | General Acute Care Hospital (282N00000X) |
United | 443 | $19423.40 | 1245248939 - MOUNT SINAI HOSPITAL, MOUNT SINAI OF QUEENS | 131624096 - MOUNT SINAI HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 443 | $10964.00 | 1477516466 - SCOTT & WHITE MEMORIAL HOSPITAL, BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 741166904 - SCOTT & WHITE MEMORIAL HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 443 | $12690.75 | 1568562551 - MERCY HEALTH, CLERMONT HOSPITAL | 310830955 | OH | General Acute Care Hospital (282N00000X) |
United | 443 | $14118.65 | 1902818883 - GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1, SAMARITAN HEALTHCARE | 930386906 | WA | General Acute Care Hospital (282N00000X) |
United | 443 | $9234.17 | 1275585150 - CATAWBA VALLEY MEDICAL CENTER | 560789196 | NC | Psychiatric Hospital Unit (273R00000X) |
United | 443 | $15276.00 | 1063685733 - EPHRATA COMMUNITY HOSPITAL, WORKPLACE PARTNERS | 231370484 - EPHRATA COMMUNITY HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 443 | $14054.00 | 1437136918 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Psychiatric Hospital (283Q00000X) |
United | 443 | $8968.55 | 1265270607 - SAINT MARY OF NAZARETH HOSPITAL | 992171028 | IL | General Acute Care Hospital (282N00000X) |
United | 443 | $7261.62 | 1578505095 - HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY, GIRARD MEDICAL CENTER | 480698644 | KS | Critical Access Hospital (282NC0060X) |
United | 443 | $9634.71 | 1578971792 - HENDRICKS COUNTY HOSPITAL, HENDRICKS REGIONAL HEALTH BROWNSBURG HOSPITAL | 351361243 - HENDRICKS COUNTY HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 443 | $10480.07 | 1548248644 - WAUPUN MEMORIAL HOSPITAL, SSM HEALTH WAUPUN MEMORIAL HOSPITAL | 390806265 - WAUPUN MEMORIAL HOSPITAL | WI | Critical Access Hospital (282NC0060X) |
United | 443 | $8512.50 | 1396006524 - ELMHURST MEMORIAL HEALTHCARE | 362167784 - (IL) ELMHURST MEMORIAL HEALTHCARE | IL | Chronic Disease Hospital (281P00000X) |
United | 443 | $11659.23 | 1619270188 - VALLEY BAPTIST MEDICAL CENTER | 452663071 | 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 443 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 443 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 443 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 |
|---|---|---|
| 442-APR-DRG | High | KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
| 442-MS-DRG | High | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC |
| 443-MS-DRG | High | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC |
| 444-APR-DRG | High | RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 443. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 443 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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