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See a sample rate comparisonMS-DRG 446 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 WITHOUT CC/MCC
| 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
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MS-DRG 446
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$23,406.99Published rateSouthampton Hospital, Sports Rehab East Hampotn
$14,106.62Published rateKennewick Public Hospital District, Kennewick General Hospital
$11,769.65Published rateOsf Healthcare System, Osf Healthcare Heart Of Mary Medical Center
Osf Healthcare System
$8,865.38Published rateLancaster Hospital Corporation, Palmdale Regional Medical Center
Lancaster Hospital Corporation
$2,465.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-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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