MS-DRG 177 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 Respiratory System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 177 by major payers:
$21,248.73
$22,023.41
$25,687.76
$25,969.56
| 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 177 | ||||||
United | 177 | $30547.00 | 1275682932 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 177 | $21722.40 | 1730166224 - INSIGHT CHICAGO, INC., INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO | 862358048 - INSIGHT CHICAGO INC | IL | General Acute Care Hospital (282N00000X) |
United | 177 | $37560.98 | 1033487418 - WINTER HAVEN HOSPITAL | 590724462 - (FL) WINTER HAVEN HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 177 | $24640.31 | 1447500111 - FAIRVIEW CLEVELAND CLINIC HOSPITAL | 340714618 - FAIRVIEW HOSPITAL | OH | General Acute Care Hospital (282N00000X) |
United | 177 | $49424.48 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 177 | $2765.00 | 1053340158 - WELLMONT HEALTH SYSTEM, HANCOCK COUNTY HOSPITAL | 621636465 - WELLMONT HEALTH SYSTEM | TN | Critical Access Hospital (282NC0060X) |
United | 177 | $41156.08 | 1639656713 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH BAPTIST EASLEY HOSPITAL | 811723202 - PRISMA HEALTH - UPSTATE | SC | General Acute Care Hospital (282N00000X) |
United | 177 | $15665.50 | 1902862915 - WHITE RIVER HEALTH SYSTEM, INC, STONE COUNTY MEDICAL CENTER SWING BED | 710411459 - WHITE RIVER HEALTH SYSTEM INC | AR | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 177 | $29189.14 | 1447368071 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE GOOD SHEPHERD HOSPITAL | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 177 | $32367.17 | 1184731507 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA, UVA HEALTH SCIENCES CENTER | 546001796 - RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA | VA | Psychiatric Hospital Unit (273R00000X) |
United | 177 | $30547.00 | 1275682932 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | Rehabilitation Hospital Unit (273Y00000X) |
United | 177 | $27561.33 | 1306868682 - CAMDEN GENERAL HOSPITAL, CAMDEN ER | 581884314 - (TN) CAMDEN GENERAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 177 | $23885.40 | 1306844519 - UNION HOSPITAL, INC., UNION HOSPITAL CLINTON | 350876396 - UNION HOSPITAL INC | IN | Critical Access Hospital (282NC0060X) |
United | 177 | $16969.57 | 1407573132 - DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC, RED BUD REGIONAL HOSPITAL | 884142509 | IL | Critical Access Hospital (282NC0060X) |
United | 177 | $22551.78 | 1992159370 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | AL | 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 177 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 177 code is part of the Diseases & Disorders of the Respiratory System 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 177 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 |
|---|---|---|
| 176-APR-DRG | High | INSERTION, REVISION & REPLACEMENTS OF PACEMAKER & OTHER CARDIAC DEVICES |
| 176-MS-DRG | High | Pulmonary Embolism without MCC |
| 177-MS-DRG | High | Respiratory Infections and Inflammations with MCC |
| 178-APR-DRG | High | EXTERNAL HEART ASSIST SYSTEMS |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 177. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 177 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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