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MS-DRG 443 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 LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
Key FactDetail
Service Type

Diseases & Disorders of the Hepatobiliary System & Pancreas

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Complexity LevelHigh

National average reimbursement for MS-DRG 443 by major payers:

bcbs

$8,383.48

uhc

$10,311.35

aetna

$11,539.69

cigna

$11,692.09

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MS-DRG 443
5 of 25 sample ratesHigher to lower in this preview
  1. Mount Sinai Hospital, Mount Sinai Of Queens

    Mount Sinai Hospital

    NYGeneral Acute Care HospitalNPI 1245248939Tax ID 13-1624096

    $19,423.40Published rate
  2. Grant County Public Hospital District 1, Samaritan Healthcare

    WAGeneral Acute Care HospitalNPI 1902818883Tax ID 93-0386906

    $14,118.65Published rate
  3. Avera Mckennan, Avera Mckennan Hospital And University Health Center - Rehab Unit

    Avera Mckennan

    SDRehabilitation Hospital UnitNPI 1215951629Tax ID 46-0224743

    $11,594.54Published rate
  4. Saint Mary Of Nazareth Hospital

    ILGeneral Acute Care HospitalNPI 1265270607Tax ID 99-2171028

    $8,968.55Published rate
  5. Johnston Memorial Hospital, Johnston Memorial Hospital Er Physicians

    Johnston Memorial Hospital Inc

    VAGeneral Acute Care HospitalNPI 1033214440Tax ID 54-0544705

    $4,120.00Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
442-APR-DRGHighKIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY
442-MS-DRGHighDISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
443-MS-DRGHighDISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
444-APR-DRGHighRENAL 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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