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 | $6627.49 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 742781812 | TX | General Acute Care Hospital (282N00000X) |
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 | $8106.00 | 1689782872 - FREEMAN NEOSHO HOSPITAL | 431240629 - (MO) FREEMAN NEOSHO HOSPITAL | MO | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 446 | $5855.00 | 1568899391 - HILLCREST BAPTIST MEDICAL CENTER, BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | 741161944 - (TX) HILLCREST BAPTIST MEDICAL CENTER | TX | Rehabilitation Hospital Unit (273Y00000X) |
United | 446 | $13554.09 | 1437136918 - EMORY UNIVERSITY, EMORY UNIVERSITY HOSPITAL | 580566256 - (GA) EMORY UNIVERSITY | GA | Psychiatric Hospital (283Q00000X) |
United | 446 | $11217.69 | 1023069028 - SOUTHCREST LLC, SOUTHCREST HOSPITAL | 452711804 | OK | General Acute Care Hospital (282N00000X) |
United | 446 | $12603.26 | 1336117787 - JEFFERSON REGIONAL MEDICAL CENTER | 251260215 - (PA) HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 446 | $11769.65 | 1255367611 - KENNEWICK PUBLIC HOSPITAL DISTRICT, KENNEWICK GENERAL HOSPITAL | 823962056 | WA | General Acute Care Hospital (282N00000X) |
United | 446 | $2465.00 | 1033109947 - LANCASTER HOSPITAL CORPORATION, PALMDALE REGIONAL MEDICAL CENTER | 953565954 - (CA) LANCASTER HOSPITAL CORPORATION | CA | Rehabilitation Hospital Unit (273Y00000X) |
United | 446 | $19240.43 | 1710140322 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | General Acute Care Hospital (282N00000X) |
United | 446 | $14861.66 | 1659492106 - ST. CHARLES HOSPITAL AND REHABILITATION CENTER | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | Rehabilitation Hospital (283X00000X) |
United | 446 | $23406.99 | 1396779948 - TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | 751047527 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS | TX | General Acute Care Hospital (282N00000X) |
United | 446 | $14724.54 | 1043397177 - AURORA MEDICAL CENTER BAY AREA, INC | 391528430 - AURORA MEDICAL CENTER BAY AREA INC | WI | General Acute Care Hospital (282N00000X) |
United | 446 | $8898.46 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 446 | $19395.91 | 1881814903 - ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC, PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL | 814791043 - (CA) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC | CA | Rehabilitation Hospital Unit (273Y00000X) |
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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