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See a sample rate comparisonMS-DRG 445 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 THE BILIARY TRACT WITH CC
| 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 445 by major payers:
$13,007.06
$14,563.88
$17,124.24
$17,534.14
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MS-DRG 445
5 of 25 sample ratesHigher to lower in this preview
Aurora Medical Center Grafton
Aurora Health Care Inc
$22,324.42Published ratePark Nicollet Methodist Hospital, Park Nicollet Methodist Hospital Outpatient Surgery Center
Park Nicollet Health Services
$18,239.11Published rateIntegris Canadian Valley Hospital, Integris Canadian Valley Hospital
$13,449.96Published rateProspect Chartercare Sjhsri, LLC, St. Joseph Health Center
$10,666.70Published rateArkansas Methodist Hospital Corporation, Arkansas Methodist Medical Center
Arkansas Methodist Hospital Corporation
$1,286.00Published rate
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See a sample payer proposalMS-DRG 445 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 445 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 445 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 |
|---|---|---|
| 444-APR-DRG | High | RENAL DIALYSIS ACCESS DEVICE PROCEDURES & VESSEL REPAIR |
| 444-MS-DRG | High | DISORDERS OF THE BILIARY TRACT WITH MCC |
| 445-MS-DRG | High | DISORDERS OF THE BILIARY TRACT WITH CC |
| 446-APR-DRG | High | URETHRAL & TRANSURETHRAL PROCEDURES |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 445 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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