MS-DRG 446 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 446 by major payers:
$9,508.31
$10,911.52
$12,778.49
$13,108.62
| 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 446 | ||||||
United | 446 | $14696.62 | 1821002007 - UNIVERSITY OF CALIFORNIA IRVINE, UCI HEALTH - FOUNTAIN VALLEY | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | General Acute Care Hospital (282N00000X) |
United | 446 | $10279.58 | 1427616002 - NYU LANGONE HOSPITALS, NYU LANGONE HOSPITAL LONG ISLAND | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 446 | $12003.34 | 1851346720 - ASHLAND HOSPITAL CORPORATION, KINGS DAUGHTERS MEDICAL CENTER | 610444716 - ASHLAND HOSPITAL CORPORATION | KY | General Acute Care Hospital (282N00000X) |
United | 446 | $18056.44 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 446 | $18056.44 | 1255387726 - BAYCARE AURORA, LLC, AURORA BAYCARE MEDICAL CENTER | 391947472 | WI | General Acute Care Hospital (282N00000X) |
United | 446 | $9323.04 | 1427069632 - EDWARD HOSPITAL | 363297173 - (IL) EDWARD HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 446 | $7522.02 | 1972549038 - BAXTER COUNTY REGIONAL HOSPITAL, INC, BAXTER REGIONAL MEDICAL CENTER | 710561765 - BAXTER COUNTY REGIONAL HOSPITAL INC | AR | Psychiatric Hospital Unit (273R00000X) |
United | 446 | $20104.72 | 1013407865 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - ARVADA | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 446 | $9860.04 | 1205923539 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE RESURRECTION MEDICAL CENTER | 362235165 - (IL) PRESENCE CHICAGO HOSPITALS NETWORK | IL | General Acute Care Hospital (282N00000X) |
United | 446 | $9595.91 | 1336231091 - ALLEN MEMORIAL HOSPITAL CORPORATION, ALLEN HOSPITAL | 420698265 - (IA) ALLEN MEMORIAL HOSPITAL CORPORATION | IA | General Acute Care Hospital (282N00000X) |
United | 446 | $7060.35 | 1356528269 - MULTICARE HEALTH SYSTEM, MULTICARE DEACONESS HOSPITAL | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 446 | $6627.49 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 446 | $1758.72 | 1457413551 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | Psychiatric Hospital Unit (273R00000X) |
United | 446 | $8865.38 | 1770096521 - OSF HEALTHCARE SYSTEM, OSF HEALTHCARE HEART OF MARY MEDICAL CENTER | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 446 | $8898.46 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | 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 446 vs. Other Diseases & Disorders of the Hepatobiliary System & Pancreas Codes
The MS-DRG 446 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 446 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 |
|---|---|---|
| 445-APR-DRG | High | OTHER BLADDER PROCEDURES |
| 445-MS-DRG | High | Disorders of the Biliary Tract with CC |
| 446-MS-DRG | High | Disorders of the Biliary Tract without CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 446 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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