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 | $7724.77 | 1417032673 - CARONDELET HEALTH NETWORK, ST MARY'S HOSPITAL | 474131755 | AZ | Psychiatric Hospital Unit (273R00000X) |
United | 443 | $10856.00 | 1225499379 - PROSPECT CCMC, LLC | 811507712 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 443 | $9866.50 | 1184732851 - ST JOSEPH MEDICAL CENTER, ST JOSEPH MEDICAL CENTER MEDICAID PRO FEES | 370662576 | IL | General Acute Care Hospital (282N00000X) |
United | 443 | $11009.29 | 1700037801 - PROVIDENCE HEALTH & SERVICES-WA | 352346161 | WA | General Acute Care Hospital (282N00000X) |
United | 443 | $12643.75 | 1891098786 - MOUNT ST. MARY'S HOSPITAL OF NIAGARA FALLS, MOUNT ST. MARY'S HOSPITAL CLINICS | 161523353 - (NY) MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS | NY | General Acute Care Hospital (282N00000X) |
United | 443 | $10546.29 | 1790777696 - JACK COUNTY HOSPITAL DISTRICT, FAITH COMMUNITY HOSPITAL | 756004585 - (TX) FAITH COMMUNITY HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 443 | $7385.00 | 1336294719 - ESSENT HEALTHCARE, SOUTHWEST REGIONAL MEDICAL CENTER | 473884840 - (PA) TGCH INC | PA | General Acute Care Hospital (282N00000X) |
United | 443 | $11594.54 | 1215951629 - AVERA MCKENNAN, AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER - REHAB UNIT | 460224743 - AVERA MCKENNAN | SD | Rehabilitation Hospital Unit (273Y00000X) |
United | 443 | $5328.00 | 1619308319 - CR EMERGENCY ROOM, LLC, BAYLOR SCOTT & WHITE EMERGENCY HOSPITAL MURPHY | 262978009 | TX | General Acute Care Hospital (282N00000X) |
United | 443 | $10856.00 | 1225499379 - PROSPECT CCMC, LLC | 811507712 | PA | Rehabilitation Hospital Unit (273Y00000X) |
United | 443 | $11108.28 | 1801242987 - THEDACARE REGIONAL MEDICAL CENTER, THEDACARE DIAGNOSTIC IMAGING CENTER | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 443 | $23595.10 | 1396087672 - DOCTORS MEDICAL CENTER OF MODESTO, INC., EMANUEL MEDICAL CENTER | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 443 | $14990.70 | 1417202169 - ST VINCENT'S MEDICAL CENTER | 832550272 - (CT) SVMC HOLDINGS INC | CT | General Acute Care Hospital (282N00000X) |
United | 443 | $13290.94 | 1174580831 - PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION, PASSAVANT AREA HOSPITAL | 370661230 - (IL) MEMORIAL HEALTH SYSTEM | IL | Critical Access Hospital (282NC0060X) |
United | 443 | $7563.16 | 1730166224 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | 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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