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See a sample rate comparisonMS-DRG 182 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 WITHOUT CC/MCC
| 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 182 by major payers:
$10,933.91
$11,825.23
$13,261.46
$13,726.04
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MS-DRG 182
5 of 25 sample ratesHigher to lower in this preview
University Of Colorado Hospital Authority, Uchealth Emergency Room - Thornton
University Of Colorado Hospital Authority
$25,606.56Published rateJohnston Health Services Corporation, Johnston Health
Johnston Health Services Corporation
$15,215.70Published rateProvidence Health System, Providence Little Company Of Mary Medical Center San Pedro
$14,174.25Published rateLehigh Hma LLC, Lehigh Regional Medical Center
$8,189.00Published rateAlbert Einstein Medical Center
Albert Einstein Healthcare Network
$2,640.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 182 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 182 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 182 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 |
|---|---|---|
| 181-APR-DRG | High | LOWER EXTREMITY ARTERIAL PROCEDURES |
| 181-MS-DRG | High | RESPIRATORY NEOPLASMS WITH CC |
| 182-MS-DRG | High | RESPIRATORY NEOPLASMS WITHOUT CC/MCC |
| 183-APR-DRG | High | PERCUTANEOUS STRUCTURAL CARDIAC 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 182. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 182 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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