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 | $5551.97 | 1801309711 - THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA, MEDICAL CENTER BARBOUR SWING BED | 208104245 | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
United | 184 | $21167.60 | 1265092126 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 184 | $17942.25 | 1285663856 - ROCKDALE MEDICAL CENTER INC., ROCKDALE HOSPITAL | 300999841 - (GA) PIEDMONT ROCKDALE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 184 | $5551.97 | 1801309711 - THE HEALTH CARE AUTHORITY OF THE CITY OF EUFAULA, MEDICAL CENTER BARBOUR SWING BED | 208104245 | AL | Medicare Defined Swing Bed Hospital Unit (275N00000X) |
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 | $29414.27 | 1932103413 - MOUNT SINAI HOSPITAL | 131624096 - MOUNT SINAI HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 184 | $23098.73 | 1215755400 - ALLINA HEALTH SYSTEM | 363261413 - ALLINA HEALTH SYSTEM | MN | General Acute Care Hospital (282N00000X) |
United | 184 | $10339.53 | 1770740359 - REHABILITATION INSTITUTE OF DENTON LLC | 262501389 - (TX) REHABILITATION INSTITUTE OF DENTON LLC | TX | Rehabilitation Hospital (283X00000X) |
United | 184 | $20183.89 | 1376624981 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | General Acute Care Hospital (282N00000X) |
United | 184 | $14553.92 | 1356387146 - CHRISTUS HEALTH NORTHERN LOUISIANA, CHRISTUS INPATIENT REHABILITATION CENTER SHREVEPORT-BOSSIER | 720408982 - (LA) CHRISTUS HEALTH NORTHERN LOUISIANA | LA | Rehabilitation Hospital Unit (273Y00000X) |
United | 184 | $14118.59 | 1932553385 - BBH WBMC, LLC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | General Acute Care Hospital (282N00000X) |
United | 184 | $12303.44 | 1043307580 - INGALLS MEMORIAL HOSPITAL, THE INGALLS MEMORIAL HOSPITAL | 362170866 - (IL) INGALLS MEMORIAL HOSPITAL | IL | Psychiatric Hospital Unit (273R00000X) |
United | 184 | $20183.89 | 1376624981 - PROVIDENCE HEALTH & SERVICES WASHINGTON, PROVIDENCE CENTRALIA HOSPITAL | 352346161 | WA | General Acute Care Hospital (282N00000X) |
United | 184 | $15812.15 | 1700870672 - METHODIST MEDICAL CENTER | 620636239 - METHODIST MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 184 | $20863.19 | 1073893020 - PASCO-PINELLAS HILLSBOROUGH COMMUNITY HEALTH SYSTEM INC, ADVENTHEALTH WESLEY CHAPEL | 208488713 - (FL) PASCO-PINELLAS HILLSBOROUGH COMMUNITY HEALTH SYSTEM INC | FL | 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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