MS-DRG 184 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 184 by major payers:

$11,905.36

$14,351.00

$16,841.99

$17,233.00
| 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 184 | ||||||
United | 184 | $23098.73 | 1215755400 - ALLINA HEALTH SYSTEM | 363261413 - ALLINA HEALTH SYSTEM | MN | General Acute Care Hospital (282N00000X) |
United | 184 | $18100.76 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 184 | $18100.76 | 1467537506 - CARONDELET HEALTH NETWORK, ST. MARY'S HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 184 | $17138.14 | 1154531630 - AVERA MCKENNAN, AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER - DIABETIC ED | 460224743 - AVERA MCKENNAN | SD | General Acute Care Hospital (282N00000X) |
United | 184 | $13462.33 | 1912948845 - PHYSICIANS SURGICAL HOSPITALS, LLC | 731620274 - (TX) PHYSICIANS SURGICAL HOSPITALS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 184 | $14491.70 | 1780971127 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER PSYCH | 452663071 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 184 | $18912.84 | 1104881507 - PARKVIEW MEDICAL CENTER, INC. | 840935136 - (CO) PARKVIEW MEDICAL CENTER INC | CO | General Acute Care Hospital (282N00000X) |
United | 184 | $3564.00 | 1497859789 - MOUNTAIN STATES HEALTH ALLIANCE, JOHNSON COUNTY COMMUNITY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | Critical Access Hospital (282NC0060X) |
United | 184 | $10466.41 | 1932260676 - RUSH OAK PARK HOSPITAL, RUSH OAK PARK HOSPITAL REHABILITATION UNIT | 362183812 - (IL) RUSH OAK PARK HOSPITAL INC | IL | Rehabilitation Hospital Unit (273Y00000X) |
United | 184 | $8301.00 | 1114189636 - PHELPS MEMORIAL HOSPITAL ASSOCIATION, REHABILITATION SUB PROVIDER HOSPITAL | 131725076 - (NY) PHELPS MEMORIAL HOSPITAL ASSOCIATION | NY | Rehabilitation Hospital (283X00000X) |
United | 184 | $10363.46 | 1477648178 - IRON COUNTY HOSPITAL DISTRICT, IRON COUNTY MEDICAL CENTER | 200889615 - (MO) IRON COUNTY HOSPITAL DISTRICT | MO | Critical Access Hospital (282NC0060X) |
United | 184 | $14695.99 | 1790147106 - CONWAY COMMUNITY SERVICES, BAPTIST HEALTH MEDICAL CENTER - CONWAY REHAB | 461629800 - (AR) BHMC-CONWAY | AR | Rehabilitation Hospital Unit (273Y00000X) |
United | 184 | $19132.88 | 1083614382 - ROBERT PACKER HOSPITAL | 240795463 - (PA) ROBERT PACKER HOSPITAL | PA | General Acute Care Hospital (282N00000X) |
United | 184 | $15806.00 | 1588823108 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 184 | $18866.91 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
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 184 vs. Other Diseases & Disorders of the Respiratory System Codes
The MS-DRG 184 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 184 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 |
|---|---|---|
| 183-APR-DRG | High | PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
| 183-MS-DRG | High | Major Chest Trauma with MCC |
| 184-MS-DRG | High | Major Chest Trauma with CC |
| 185-MS-DRG | High | Major Chest Trauma 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 184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 184 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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