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See a sample rate comparisonMS-DRG 181 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.
RESPIRATORY NEOPLASMS WITH CC
| 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 181 by major payers:
$14,049.36
$14,874.02
$17,593.20
$18,082.09
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MS-DRG 181
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$36,551.07Published rateSacred Heart Health System, Inc., Sacred Heart Hospital
Sacred Heart Health System Inc
$17,960.21Published ratePresence Chicago Hospitals Network, Saint Joseph Hospital - Chicago Psychiatric Unit
Presence Chicago Hospitals Network
$14,170.75Published rateSt. Joseph Health Services Of Ri, Wound Care Group
$11,653.63Published rateCr Emergency Room, LLC, Baylor Scott & White Emergency Hospital Colleyville
$5,761.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 181 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 181 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 181 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 |
|---|---|---|
| 180-APR-DRG | High | OTHER CIRCULATORY SYSTEM PROCEDURES |
| 180-MS-DRG | High | RESPIRATORY NEOPLASMS WITH MCC |
| 181-MS-DRG | High | RESPIRATORY NEOPLASMS WITH CC |
| 182-APR-DRG | High | OTHER PERIPHERAL VASCULAR 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 181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 181 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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